Organization Active NPI

Faithful Primary Care LLC

  • Family Nurse Practitioner
  • Coraopolis, PA
National Provider Identifier
1265120174
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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

Updated by the provider on Sep 23, 2025

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.