Bradley Sushko, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

RN2729652 Issued in FL

Practice address

434 W Kennedy Blvd
Orlando, FL 32810-6237

Phone

(407) 875-3700

Fax

(407) 532-1051

NPI assigned

Aug 7, 2014

Sex

Male

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

Registered Nurse

State licenses

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1548679194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 W KENNEDY BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328106237",
            "telephone_number": "407-875-3700",
            "fax_number": "407-532-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 W KENNEDY BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328106237",
            "telephone_number": "407-875-3700",
            "fax_number": "407-532-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSHKO",
        "first_name": "BRADLEY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-07",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "FL",
            "license": "RN2729652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suhei Nesmar Suro
• Jaya N. Surujdyal, D.O.
• Susan Addis PHD PA
• Susan H. Jacquot DDS PL
• Rose Susel
• J Richard Susi, DO
• Laura Kathleen Susi, MD
• Thomas Tony Susi Jr.
• Andrew D Sutherland, DC
• Cara Sutherland, M.S.

• Psychiatric/Mental Health Registered Nurse in Orlando, FL
• Providers in Orlando, FL by specialty
• Psychiatric/Mental Health Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.