Inez Bradley

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

276 Shepard Ave # 3
Englewood, NJ 07631-3223

Phone

(917) 645-8911

NPI assigned

Sep 29, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1326710211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 SHEPARD AVE # 3",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313223",
            "telephone_number": "917-645-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 SHEPARD AVE # 3",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313223",
            "telephone_number": "917-645-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "INEZ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ENGLEWOOD",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "276 Shepard Ave # 3",
            "city": "Englewood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076313223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Leslie Borow, MD
• John Michael Borzok Jr., DPM
• Thomas Sal Bottiglieri, D.O.
• Lorraine Bourne
• Cherif Boutros, M.D.
• Tara R Brandwein, PSY.D.
• Glenn Brauntuch, MD
• Seth Ilias Breitbart, M.D.
• Brightview Dental PC
• Elizabeth Brinn

• Specialist in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.