Individual provider Active NPI

Melissa Bradley, APN

  • Family Nurse Practitioner
  • Bridgeton, NJ
National Provider Identifier
1245126135
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15348200 Issued in NJ
Practice address
215 Back Neck Rd
Bridgeton, NJ 08302-6834
Phone
(856) 451-4414
NPI assigned
Jun 16, 2025
Last updated
Sep 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ15348200 NJ Primary

Addresses

Primary practice location

215 Back Neck Rd
Bridgeton, NJ 08302-6834

Mailing address

215 Back Neck Rd
Bridgeton, NJ 08302-6834
Phone (856) 451-4414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20251008004850 NJ Practitioner - Family Practice 2264939818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Cumberland Medical Associates PCGroup PAC ID 9638066079, 3 clinicians

Practice addresses (Care Compare)

215 Back Neck Rd
Bridgeton, NJ 08302-6834
Phone (856) 451-4414

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ15348200NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Cumberland Medical Associates PC CurrentSince Sep 23, 2025 Accepting new patients

Locations

215 Back Neck Rd
Bridgeton, NJ 08302
Phone (609) 451-4414

Interoperability endpoints

  • Direct secure messaging: bradleym@scma.directbygreenway.com

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 1

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": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1245126135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 BACK NECK RD",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083026834",
            "telephone_number": "856-451-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 BACK NECK RD",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083026834",
            "telephone_number": "856-451-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "MELISSA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15348200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, NJ

Sources for this page

Verify at the official NPI Registry.