Active NPI
Marly Bradley, MD
- Pediatric Emergency Medicine (Pediatrics) Physician
- Indianapolis, IN
National Provider Identifier
1437171600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) Physician
- License
- 01052950
- Practice address
- 720 Eskenazi Ave FL 2
Indianapolis, IN 46202-5189 - Phone
- (317) 880-7000
- NPI assigned
- Jul 24, 2006
- Last updated
- Sep 11, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 01052950A | IN | |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | 01052950 | IN | Primary |
Addresses
Primary practice location
720 Eskenazi Ave FL 2
Indianapolis, IN 46202-5189
Mailing address
PO Box 637764
Cincinnati, OH 45263-7764
Phone (317) 880-3939
Other practice location 1
702 Barnhill Dr
Indianapolis, IN 46202-5128
Phone (317) 274-3936
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200281390 | Medicaid | IN |
Other names 1
- Marly Pierre-Jerome
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mbradley15076@direct.eskenazihealth.edu | 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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01052950A | IN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Health and Hospital Corporation of Marion County | Past | Accepting new patients | |
| Icem-University-Riley, LLC | Past | Accepting new patients | |
| Emgi - University, LLC | Past | Accepting new patients | |
| Emgi - Riley, LLC | Past | Accepting new patients | |
| University Medical Diagnostic Associates, Inc. | Past | Accepting new patients | |
| Indiana University Health Care Associates, Inc | Past | Accepting new patients |
Interoperability endpoints
- mbradley15076@direct.eskenazihealth.edu
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Indianapolis, IN
- NPI 1720020381
-
- Emergency Medical Services (Emergency Medicine) Physician
- Indianapolis, IN
- NPI 1508808783
-
- Emergency Medicine Physician
- Indianapolis, IN
- NPI 1417284563
-
dba IU Health Physicians
- General Practice Physician
- Indianapolis, IN
- NPI 1902032832
-
dba Eskenazi Health
- Nurse Practitioner
- Indianapolis, IN
- NPI 1104027879
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1861441537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1437171600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 637764",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452637764",
"telephone_number": "317-880-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 ESKENAZI AVE FL 2",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025189",
"telephone_number": "317-880-7000"
}
],
"practiceLocations": [
{
"address_1": "702 Barnhill Dr",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462025128",
"country_code": "US",
"telephone_number": "317-274-3936",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRADLEY",
"first_name": "MARLY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01052950A",
"primary": false
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "IN",
"license": "01052950",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200281390",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mbradley15076@direct.eskenazihealth.edu",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "720 Eskenazi Ave Fl 2",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462025189",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MARLY",
"last_name": "PIERRE-JEROME",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.