Joanne S Bradley

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

L01300028 Issued in GA

Practice address

2300 Bethelview Rd
Suite 110-442
Cumming, GA 30040-9475

Phone

(404) 617-6483

Fax

(888) 404-9855

NPI assigned

Mar 20, 2013

Last updated

Mar 20, 2013By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1316289028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 BETHELVIEW RD",
            "address_2": "SUITE 110-442",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300409475",
            "telephone_number": "404-617-6483",
            "fax_number": "888-404-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 BETHELVIEW RD",
            "address_2": "SUITE 110-442",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300409475",
            "telephone_number": "404-617-6483",
            "fax_number": "888-404-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "JOANNE",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "GA",
            "license": "L01300028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas D Boyd, OD
• Dwight D Boyd, O.D.
• Carly Jo Eggers Boykin, DPT
• Millie Brabham
• Brad W Erlandson, LLC
• Nicole Christine Brady
• Jennifer Sherwood Bragg, D.M.D.
• Corbin Cash Bramlet
• Julia Caroline Branch, NURSE PRACTITIONER
• Obie Brannon

• Home Modifications Contractor in Cumming, GA
• Providers in Cumming, GA by specialty
• Home Modifications Contractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.