Vicki Bradley, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209018299 Issued in IL

Practice address

11104 S Troy St
Chicago, IL 60655-2318

Phone

(773) 941-5125

Fax

(773) 351-4149

NPI assigned

Feb 16, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bradley Wellness PLLC

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1023980984
  NPD Authorized official

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1265130652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11104 S TROY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606552318",
            "telephone_number": "773-941-5125",
            "fax_number": "773-352-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11104 S TROY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606552318",
            "telephone_number": "773-941-5125",
            "fax_number": "773-351-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "VICKI",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-16",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209018299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Bradley
• Keena Bradley
• Lauren Elizabeth Bradley, PH.D.
• Misha Bradley, LCPC
• Sara M Bradley, MD
• Dawn P Bradly, MD
• Cindy Bradsfield
• Joi F Bradshaw, MD
• Megan Lynch Bradshaw, AU.D. CCC-A
• Reagan Marie Bradshaw

• Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.