Active NPI
Faithful Primary Care LLC
- Family Nurse Practitioner
- Coraopolis, PA
National Provider Identifier
1265120174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- FAITHFUL PRIMARY CARE LLC
- Practice address
- 100 Gorwood Dr
Coraopolis, PA 15108-9374 - Phone
- (412) 336-8550
- NPI assigned
- Apr 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason E Bradley, NP
- Title
- Owner
- Phone
- (941) 292-0123
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
100 Gorwood Dr
Coraopolis, PA 15108-9374
Mailing address
12161 Mercado Dr # 123
Venice, FL 34293-1147
Phone (941) 292-0123
National Provider Directory
National Provider DirectoryLocations
12161 Mercado Dr
Venice, FL 34293
Phone (719) 635-0204
100 Gorwood Dr
Coraopolis, PA 15108
Phone (412) 336-8550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758585600000",
"number": "1265120174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12161 MERCADO DR # 123",
"city": "VENICE",
"state": "FL",
"postal_code": "342931147",
"telephone_number": "941-292-0123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 GORWOOD DR",
"city": "CORAOPOLIS",
"state": "PA",
"postal_code": "151089374",
"telephone_number": "412-336-8550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAITHFUL PRIMARY CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-27",
"last_updated": "2025-09-23",
"certification_date": "2025-09-23",
"status": "A",
"authorized_official_last_name": "BRADLEY",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "941-292-0123",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coraopolis, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.