Organization Active NPI

Village of Bradley

Doing business as Bradley Fire Department

  • Land Ambulance
  • Bradley, IL
National Provider Identifier
1093857534
Registry record updated Apr 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
7243 Issued in IL
Legal business name
VILLAGE OF BRADLEY
Doing business as
Bradley Fire Department
Village of Bradley
Practice address
147 S Michigan Ave
Bradley, IL 60915-2243
Phone
(815) 933-2401
Fax
(815) 933-0149
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert Romo
Title
Treasurer
Phone
(815) 936-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 7243 IL Primary

Addresses

Primary practice location

147 S Michigan Ave
Bradley, IL 60915-2243

Mailing address

PO Box 457
Wheeling, IL 60090-0457
Phone (847) 577-8811

Other names 2

  • Bradley Fire Department Doing business as
  • Village of Bradley Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070828000314 IL Part B Supplier - Ambulance Service Supplier 0648362236 Practice locations: Bradley, IL

National Provider Directory

National Provider Directory

Locations

147 S Michigan Ave
Bradley, IL 60915
Phone (815) 933-2401

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776556800000",
    "number": "1093857534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600900457",
            "telephone_number": "847-577-8811",
            "fax_number": "847-577-3518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 S MICHIGAN AVE",
            "city": "BRADLEY",
            "state": "IL",
            "postal_code": "609152243",
            "telephone_number": "815-933-2401",
            "fax_number": "815-933-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF BRADLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2026-04-19",
        "certification_date": "2026-04-19",
        "status": "A",
        "authorized_official_last_name": "ROMO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "815-936-5100"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "7243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bradley Fire Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bradley Fire Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Village of Bradley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bradley, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.