Individual provider Active NPI

Brenda K Bradley

  • Informatics Clinical Nurse Specialist
  • Salem, MA
National Provider Identifier
1235076001
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Informatics Clinical Nurse SpecialistTaxonomy code 364SI0800X
License
RN9180533 Issued in FL
Practice address
6 Cedarcrest Rd
Salem, MA 01970-4309
Phone
(904) 563-1102
NPI assigned
Apr 30, 2026
Last updated
Apr 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Informatics Clinical Nurse Specialist 364SI0800X RN2351697 MA
Informatics Clinical Nurse Specialist 364SI0800X RN9180533 FL Primary

Addresses

Primary practice location

6 Cedarcrest Rd
Salem, MA 01970-4309

Mailing address

6 Cedarcrest Rd
Salem, MA 01970-4309
Phone (904) 563-1102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN9180533FLMDInformatics Clinical Nurse Specialist
RN2351697MAMDInformatics Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1777507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1235076001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CEDARCREST RD",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019704309",
            "telephone_number": "904-563-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CEDARCREST RD",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019704309",
            "telephone_number": "904-563-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "BRENDA",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-30",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SI0800X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Informatics",
            "state": "MA",
            "license": "RN2351697",
            "primary": false
        },
        {
            "code": "364SI0800X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Informatics",
            "state": "FL",
            "license": "RN9180533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.