Active NPI
Village of Bradley
Doing business as Bradley Fire Department
- Land Ambulance
- Bradley, IL
National Provider Identifier
1093857534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 7243
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Village of Bradley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070828000314 | IL | Part B Supplier - Ambulance Service Supplier | 0648362236 | Practice locations: Bradley, IL |
National Provider Directory
National Provider DirectoryLocations
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.