Organization Active NPI

Richard C Bradley, DPM, PC

  • Foot & Ankle Surgery Podiatrist
  • Turnersville, NJ
National Provider Identifier
1275702284
Registry record updated Sep 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00213000 Issued in NJ
Legal business name
RICHARD C BRADLEY, DPM, PC
Practice address
188 Fries Mill Rd
Suite D-2
Turnersville, NJ 08012-2015
Phone
(856) 629-7300
Fax
(856) 629-8729
NPI assigned
Feb 23, 2008
Last updated
Sep 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2025

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

Authorized official

Name
Dr. Richard C Bradlety, DPM
Title
President
Phone
(856) 629-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00213000 NJ Primary

Addresses

Primary practice location

188 Fries Mill Rd
Suite D-2
Turnersville, NJ 08012-2015

Mailing address

PO Box 28
Mullica Hill, NJ 08062-0028
Phone (856) 629-7300

Other identifiers 3

IdentifierTypeStateIssuer
AMERIHEALTHOther114550000
114550000OtherKEYSTONE
5172101MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080215000450 PA Part B Supplier - Clinic/Group Practice 1052494960 Receives reassigned benefits from 1 practitioner
Practice locations: Glen Mills, PA
O20091005000516 NJ Part B Supplier - Clinic/Group Practice 1052494960 Receives reassigned benefits from 1 practitioner
Practice locations: Sewell, NJ; Voorhees, NJ

National Provider Directory

National Provider Directory

Locations

188 Fries Mill Rd
Ste D2
Turnersville, NJ 08012
Phone (609) 629-7300

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1203724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758326400000",
    "number": "1275702284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080620028",
            "telephone_number": "856-629-7300",
            "fax_number": "610-579-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 FRIES MILL RD",
            "address_2": "SUITE D-2",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080122015",
            "telephone_number": "856-629-7300",
            "fax_number": "856-629-8729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD C BRADLEY, DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-23",
        "last_updated": "2025-09-20",
        "certification_date": "2025-09-20",
        "status": "A",
        "authorized_official_last_name": "BRADLETY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-629-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00213000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "114550000",
            "identifier": "AMERIHEALTH",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "114550000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5172101",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Turnersville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.