Christine K (Wanich) Bradway, PHD, RN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

UP001057H Issued in PA

Practice address

8815 Germantown a Ve
Suite 21
Philadelphia, PA 19118

Phone

(215) 242-8260

NPI assigned

Mar 31, 2006

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)

Enrolled

Credentials

Nurse Practitioner, Doctor of Philosophy, Registered Nurse

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398124800000",
    "number": "1639130388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 LANGDALE CT",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061648",
            "telephone_number": "215-573-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8815 GERMANTOWN A VE",
            "address_2": "SUITE 21",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19118",
            "telephone_number": "215-242-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADWAY",
        "first_name": "CHRISTINE",
        "middle_name": "K (WANICH)",
        "name_prefix": "Ms.",
        "credential": "PHD, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2014-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "UP001057H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Bradley, MD
• Sarah R Bradley, CRNP
• Shinia Bradley, RN
• Fiona Catherine Bradshaw, DO
• Phillip Joel Bradshaw, MD
• Shannon Brady-Powers, N.P.
• Casey Brady
• Constance Brady, LCSW
• Dana Vitale Brady, OTR
• Eliannah Gabrielle Brady, PSYD

• Gerontology Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Gerontology Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.