Active NPI
Craig A Bradley, DO
- Family Medicine Physician
- York, PA
National Provider Identifier
1346203437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS004315L
- Practice address
- 2214 South Queen Street
York, PA 17402 - Phone
- (717) 741-3831
- Fax
- (717) 741-2764
- NPI assigned
- Apr 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS004315L | PA | Primary |
Addresses
Primary practice location
2214 South Queen Street
York, PA 17402
Mailing address
2214 South Queen Street
York, PA 17402
Phone (717) 741-3831
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02619000 | Other | KEYSTONE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266883200000",
"number": "1346203437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2214 SOUTH QUEEN STREET",
"city": "YORK",
"state": "PA",
"postal_code": "17402",
"telephone_number": "717-741-3831",
"fax_number": "717-741-2764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2214 SOUTH QUEEN STREET",
"city": "YORK",
"state": "PA",
"postal_code": "17402",
"telephone_number": "717-741-3831",
"fax_number": "717-741-2764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "CRAIG",
"middle_name": "A",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-10",
"last_updated": "2010-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS004315L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE",
"identifier": "02619000",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.