Nicole H. Brunsvold Bradley, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13259 Issued in WI

Practice address

202 S Park St
Madison, WI 53715-1507

Phone

(608) 417-3131

NPI assigned

May 21, 2007

Last updated

Mar 15, 2024By 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)

Enrolled

Practice roles

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

• Clinton Physical Therapy Services

  dba Dewitt Physical Therapy

  • Durable Medical Equipment & Medical Supplies
  • De Witt, IA
  • NPI 1003096066
  NPD (past)
• Clinton Physical Therapy Services, P.C.

  • Physical Therapist
  • Clinton, IA
  • NPI 1548271612
  NPD (past)
• On Site Physical Therapy LLC

  • Physical Therapist
  • Jupiter, FL
  • NPI 1033318266
  NPD (past)
• South St. Louis Rehabilitation Institute, Inc.

  • Physical Therapist
  • Saint Louis, MO
  • NPI 1568484681
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1326257072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 S PARK ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151507",
            "telephone_number": "608-417-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S PARK ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151507",
            "telephone_number": "608-417-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "NICOLE",
        "middle_name": "H. BRUNSVOLD",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "13259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William S. Bradham, MD
• Kaitlin Veronica Bradley, DO
• Kristin Bradley, MD
• Laura Bradley
• Miranda Bradley, MD
• Robert Bradley, D.D.S.
• Teresa Elizabeth Bradley, CAPSW
• Joshua Ray Brady, MD, PHD
• Lynn Brady, MPA
• Evelyn Williams Bragg, PMHNP-BC, FNP-C

• Physical Therapist in Madison, WI
• Providers in Madison, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.