Sean Michael Bradley, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

DR.0056760 Issued in CO

Practice address

402 N Tejon St # 200
Colorado Springs, CO 80903-1142

Phone

(719) 633-3850

NPI assigned

May 13, 2013

Sex

Male

Sole proprietor

Yes

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

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: sean.bradley.1@3715.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/3715/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Iron Horse Pediatrics

  • Pediatrics Physician
  • Colorado Springs, CO
  • NPI 1225624513
  NPD (past)
• Iron Horse Pediatrics

  • Pediatrics Physician
  • Colorado Springs, CO
  • NPI 1477793578
  NPD (past)

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1629414016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 N TEJON ST # 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031142",
            "telephone_number": "719-633-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 N TEJON ST # 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031142",
            "telephone_number": "719-633-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "SEAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-13",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "DR.0056760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helle Marie Bradley, MD
• James J Bradley, CRNA
• Jazmane M Bradley
• Jill Michelle Bradley, MSW, LCSW
• Makayla Bradley
• Susan M Bradley, RDH
• Taylor Renee Bradley, OTR
• Tim D Bradley
• Tyne Bradley
• Pam Bradow, RDH

• Pediatrics Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Pediatrics Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.