Individual provider Active NPI

Conor Gerard Bradley, MD

  • Family Medicine Physician
  • Wayne, PA
National Provider Identifier
1194466987
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD487770 Issued in PA
Practice address
372 W Lancaster Ave
Wayne, PA 19087-3924
Phone
(610) 688-8807
NPI assigned
Apr 5, 2022
Last updated
Oct 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD487770 PA Primary

Addresses

Primary practice location

372 W Lancaster Ave
Wayne, PA 19087-3924

Mailing address

372 W Lancaster Ave
Wayne, PA 19087-3924
Phone (610) 688-8807

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250521000776 PA Practitioner - Family Practice 1355738857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Devon Family Practice LLPGroup PAC ID 8224218078, 8 clinicians

Practice addresses (Care Compare)

139 Berkley Rd
Devon, PA 19333-1544
Phone (610) 687-0715

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Devon Family Practice LLP Family Medicine CurrentSince Jul 1, 2025 Accepting new patients

Locations

139 Berkley Rd
Devon, PA 19333
Phone (610) 687-0715

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFDDBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/EFDDBA/Endpoint/EFDDBA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1194466987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 W LANCASTER AVE",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873924",
            "telephone_number": "610-688-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 W LANCASTER AVE",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873924",
            "telephone_number": "610-688-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "CONOR",
        "middle_name": "GERARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-05",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD487770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, PA

Sources for this page

Verify at the official NPI Registry.