Bradley Healthcare Group, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BRADLEY HEALTHCARE GROUP, INC

Practice address

21044 Sherman Way Ste 103a
Canoga Park, CA 91303-1890

Phone

(747) 900-4291

NPI assigned

Aug 14, 2017

Organization subpart

No

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

Authorized official

Name

Raymond Shores

Title

Ceo

Phone

(747) 900-8636

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525219200000",
    "number": "1164948998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21044 SHERMAN WAY STE 103A",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031890",
            "telephone_number": "747-900-4292",
            "fax_number": "818-530-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21044 SHERMAN WAY STE 103A",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031890",
            "telephone_number": "747-900-4291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20944 Sherman Way Ste 115",
            "address_purpose": "LOCATION",
            "city": "Canoga Park",
            "state": "CA",
            "postal_code": "913033632",
            "country_code": "US",
            "telephone_number": "818-517-8743",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20944 Sherman Way Ste 103A",
            "address_purpose": "LOCATION",
            "city": "Canoga Park",
            "state": "CA",
            "postal_code": "913031747",
            "country_code": "US",
            "telephone_number": "747-900-4292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRADLEY HEALTHCARE GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-14",
        "last_updated": "2018-05-02",
        "status": "A",
        "authorized_official_last_name": "SHORES",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-900-8636"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dre'on Bowdry
• Elizabeth H Bower, RN
• Jazzmin Bowman
• Whitney Bowman
• Susan Boylan
• Sophia Bradner
• Jordan Branch
• Ashley Cherie Bray
• Daniel Breslavsky
• Rebecca Bridges

• Durable Medical Equipment & Medical Supplies in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.