Organization Active NPI

Bradley,NP & Assoc.,Inc.

  • Adult Medicine Physician
  • Miami, FL
National Provider Identifier
1568937316
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
BRADLEY,NP & ASSOC.,INC.
Practice address
14543 SW 142ND Court Cir
Miami, FL 33186-5627
Phone
(305) 321-6664
NPI assigned
Oct 9, 2018
Last updated
Oct 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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

Authorized official

Name
Ms. Diane Lynette Bradley, ARNPNPI 1477862100
Title
Owner
Phone
(305) 321-6664

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X NU Primary

Addresses

Primary practice location

14543 SW 142ND Court Cir
Miami, FL 33186-5627

Mailing address

14543 SW 142ND Court Cir
Miami, FL 33186-5627
Phone (305) 321-6664

Other identifiers 1

IdentifierTypeStateIssuer
ARNP1671072OtherFLBOARD OF NURSING

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539043200000",
    "number": "1568937316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14543 SW 142ND COURT CIR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865627",
            "telephone_number": "305-321-6664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14543 SW 142ND COURT CIR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865627",
            "telephone_number": "305-321-6664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY,NP & ASSOC.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-09",
        "last_updated": "2018-10-09",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-321-6664",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF NURSING",
            "identifier": "ARNP1671072",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; 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.