Veronica Bradley

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-05707 Issued in NC

Practice address

3210 Harmony Hwy
Harmony, NC 28634-9161

Phone

(704) 546-7587

NPI assigned

Apr 20, 2015

Last updated

Apr 5, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: vbradley18440@direct.ceenta.com
• Direct secure messaging: vbradley443915@direct.novanthealth.org

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1255728044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 896199",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282896199",
            "telephone_number": "833-936-1364",
            "fax_number": "605-942-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 HARMONY HWY",
            "city": "HARMONY",
            "state": "NC",
            "postal_code": "286349161",
            "telephone_number": "704-546-7587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 South Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282035773",
            "country_code": "US",
            "telephone_number": "704-316-3017",
            "fax_number": "704-316-3018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "VERONICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-20",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-05707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vbradley18440@direct.ceenta.com",
            "affiliation": "N",
            "address_1": "149 Plantation Ridge Dr Ste 190",
            "city": "Mooresville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281179178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vbradley443915@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "2400 South Blvd Ste 200",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282035773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gail E Black-Parsons, M.S., BCBA, LBA, LBS
• Hannah Bodes, LCMHCA
• Austin Jared Carangelo, DDS
• Michelle Cavill
• Michael Alan Cevasco, PA
• Eastside Pharmacy Services, LLC (Banner Drug of Harmony)
• Jessica Childers Hammer

• Physician Assistant in Harmony, NC
• Providers in Harmony, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.