Individual provider Active NPI

Colleen Bradley, RNC-OB

  • High-Risk Obstetric Registered Nurse
  • San Diego, CA
National Provider Identifier
1386361129
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
High-Risk Obstetric Registered NurseTaxonomy code 163WX0002X
License
400806 Issued in CA
Practice address
4285 Altadena Ave
San Diego, CA 92115-5130
Phone
(858) 344-6245
NPI assigned
Oct 24, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal Newborn Registered Nurse 163WM0102X 400806 CA
Low-Risk Neonatal Registered Nurse 163WN0003X 400806 CA
Perinatal Registered Nurse 163WP1700X 400806 CA
High-Risk Obstetric Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WX0002X 400806 CA Primary

Addresses

Primary practice location

4285 Altadena Ave
San Diego, CA 92115-5130

Mailing address

4285 Altadena Ave
San Diego, CA 92115-5130
Phone (858) 344-6245

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL bradleyscws@gmail.com Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
400806CAMDLow-Risk Neonatal Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1386361129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4285 ALTADENA AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921155130",
            "telephone_number": "858-344-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4285 ALTADENA AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921155130",
            "telephone_number": "858-344-6245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "COLLEEN",
        "name_prefix": "Ms.",
        "credential": "RNC-OB",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "CA",
            "license": "400806",
            "primary": false
        },
        {
            "code": "163WN0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal, Low-Risk",
            "state": "CA",
            "license": "400806",
            "primary": false
        },
        {
            "code": "163WP1700X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Perinatal",
            "state": "CA",
            "license": "400806",
            "primary": false
        },
        {
            "code": "163WX0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Obstetric, High-Risk",
            "state": "CA",
            "license": "400806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "bradleyscws@gmail.com",
            "affiliation": "N",
            "endpointDescription": "encrytped business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Medical Information",
            "address_1": "4285 Altadena Ave",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921155130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.

Verify at the official NPI Registry.