Active NPI
Audrey Bradley
- Acupuncturist
- Adrian, MI
National Provider Identifier
1366197014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 5402000144
- Practice address
- 101 W Maumee St
Adrian, MI 49221-2019 - Phone
- (517) 759-4018
- NPI assigned
- Feb 21, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 5402000144 | MI | Primary |
Addresses
Primary practice location
101 W Maumee St
Adrian, MI 49221-2019
Mailing address
1907 Sunrise St
Ann Arbor, MI 48103-3542
Phone (732) 690-7513
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5402000144 | MI | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aligned Acupuncture | Acupuncturist | Current | Accepting new patients |
| Phoenix Rising: Adrian Wellness Center | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Acupuncturist
- Ann Arbor, MI
- NPI 1780369942
-
- Acupuncturist
- Adrian, MI
- NPI 1215399217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645401600000",
"number": "1366197014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1907 SUNRISE ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481033542",
"telephone_number": "732-690-7513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W MAUMEE ST",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492212019",
"telephone_number": "517-759-4018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "AUDREY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-21",
"last_updated": "2022-02-21",
"certification_date": "2022-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MI",
"license": "5402000144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Adrian, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.