Michelle Bradley

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

3514 S Liberty St
Independence, MO 64055-3256

Phone

(816) 885-2918

NPI assigned

Mar 13, 2020

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

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1568098259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3514 S LIBERTY ST",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640553256",
            "telephone_number": "816-885-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3514 S LIBERTY ST",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640553256",
            "telephone_number": "816-885-2918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-13",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Boyd
• Jenifer C Boyer, MA, LPC
• Ashtyn Dawn Bradley
• Jeffrey M Bradley, MD
• Lauren Bradley
• Patricia Rae Bradley, MSW
• Marjorie Arlice Brady, LMSW
• Tierney Nichole Brailsford
• Mary M Brant, FPMHNP
• Bray Shepherd Eye Care PC

• Community Health Worker in Independence, MO
• Providers in Independence, MO by specialty
• Community Health Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; 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.