Kelley Renee Bradley, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

300325 Issued in NC

Practice address

100 Medical Heights Dr
Morganton, NC 28655-5197

Phone

(828) 433-4484

Fax

(828) 433-1661

NPI assigned

Nov 9, 2006

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)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/956/brand/1/csg/1/fhir/r4
• Direct secure messaging: kelley.bradley.1@956.direct.athenahealth.com

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.

• Mountain View Pediatrics PA

  • Pediatrics Physician
  • Morganton, NC
  • NPI 1134118292
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1386714830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL HEIGHTS DR",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286555197",
            "telephone_number": "828-433-4484",
            "fax_number": "828-433-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL HEIGHTS DR",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286555197",
            "telephone_number": "828-433-4484",
            "fax_number": "828-433-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "KELLEY",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "300325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J Hartley Bowen III, M.D.
• Christen Teresa Bowman, LPCA
• Clifford Vernon Boyce III, P.A.-C
• Ann Marie Boyd, BS, CSAC
• Araby Emily Boykin, LPC
• Darian Elizabeth Brady
• Mark Richard Brady, M.D.
• Wayne Allen Braffman, PH.D.
• Andrew Robertson Brant, M.D.
• Jeffrey William Braun, MD

• Pediatric Nurse Practitioner in Morganton, NC
• Providers in Morganton, NC by specialty
• Pediatric Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; 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.