Active NPI
Ramona Bradley, AGPCNP-BC
- Adult Health Nurse Practitioner
- Salisbury, MD
National Provider Identifier
1578088258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AC002075
- Practice address
- 614 Eastern Shore Dr Ste a
Salisbury, MD 21804-5940 - Phone
- (410) 831-3137
- Fax
- (410) 831-3138
- NPI assigned
- Aug 3, 2017
- Last updated
- Dec 7, 2017
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | LP-0000208 | DE | |
| Gerontology Nurse Practitioner | 363LG0600X | AC002075 | MD | |
| Gerontology Nurse Practitioner | 363LG0600X | LP-0000208 | DE | |
| Adult Health Nurse Practitioner | 363LA2200X | AC002075 | MD | Primary |
Addresses
Primary practice location
614 Eastern Shore Dr Ste a
Salisbury, MD 21804-5940
Mailing address
614 Eastern Shore Dr
Ste a
Salisbury, MD 21804-5940
Phone (443) 880-4755
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP-0000208 | DE | MD | Gerontology Nurse Practitioner |
| AC002075 | MD | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512604800000",
"number": "1578088258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "614 EASTERN SHORE DR",
"address_2": "STE A",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218045940",
"telephone_number": "443-880-4755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "614 EASTERN SHORE DR STE A",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218045940",
"telephone_number": "410-831-3137",
"fax_number": "410-831-3138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "RAMONA",
"credential": "AGPCNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-03",
"last_updated": "2017-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "DE",
"license": "LP-0000208",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MD",
"license": "AC002075",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "DE",
"license": "LP-0000208",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MD",
"license": "AC002075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.