Active NPI
Ann Marie Daly Bradley, CRNP
- Acute Care Nurse Practitioner
- Broomall, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- SP030369
- Practice address
- 30 Lawrence Rd Ste 201
Broomall, PA 19008-3301 - Phone
- (610) 492-5911
- NPI assigned
- Aug 13, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | SP030369 | PA | Primary |
Addresses
Primary practice location
30 Lawrence Rd Ste 201
Broomall, PA 19008-3301
Mailing address
206 Pomona Ave
Newtown Square, PA 19073-3141
Phone (610) 633-7772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30 Lawrence Rd
Suite 201
Broomall, PA 19008-3301
Phone (610) 492-5900
Hospital & facility affiliations
- Riddle Memorial Hospital
- Bryn Mawr Hospital
- Main Line Hospital Lankenau
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP030369 | PA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Palliative Care, PC | Current | Accepting new patients | |
| Consultants in Medical Oncology & Hematology, PC | Current | Accepting new patients |
Locations
30 Lawrence Rd
Ste 201
Broomall, PA 19008
Phone (610) 492-5900
500 Evergreen Dr
Ste G4
Glen Mills, PA 19342
Phone (610) 887-0303
3855 West Chester Pike
Ste 101
Newtown Square, PA 19073
3855 West Chester Pike
Fl Cancer
Newtown Square, PA 19073
3855 West Chester Pike
Newtown Square, PA 19073
Phone (484) 337-6000
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hematology & Oncology Physician
- Broomall, PA
- NPI 1043265820
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Broomall, PA
- NPI 1346815024
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wynnewood, PA
- NPI 1245335629
-
- General Acute Care Hospital
- Bryn Mawr, PA
- NPI 1508971441
-
- General Acute Care Hospital
- Media, PA
- NPI 1407856099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723507200000",
"number": "1114758729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 POMONA AVE",
"city": "NEWTOWN SQUARE",
"state": "PA",
"postal_code": "190733141",
"telephone_number": "610-633-7772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 LAWRENCE RD STE 201",
"city": "BROOMALL",
"state": "PA",
"postal_code": "190083301",
"telephone_number": "610-492-5911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "ANN MARIE",
"middle_name": "DALY",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-13",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "PA",
"license": "SP030369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broomall, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.