Nicholas Bradly, N.P.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

825936 Issued in TX

Practice address

36000 Darnall Loop
Carl R. Darnall Army Medical Center
Ft. Hood, TX 76544

Phone

(618) 534-7854

NPI assigned

Nov 21, 2012

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1649514118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36000 DARNALL LOOP",
            "address_2": "CARL R. DARNALL ARMY MEDICAL CENTER",
            "city": "FT. HOOD",
            "state": "TX",
            "postal_code": "76544",
            "telephone_number": "618-534-7854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36000 DARNALL LOOP",
            "address_2": "CARL R. DARNALL ARMY MEDICAL CENTER",
            "city": "FT. HOOD",
            "state": "TX",
            "postal_code": "76544",
            "telephone_number": "618-534-7854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLY",
        "first_name": "NICHOLAS",
        "name_prefix": "Mr.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-21",
        "last_updated": "2012-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "825936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silvana Rae Boyd, FNP-C
• Twyla Boykin-Burton, LVN
• Latisha Braboy, PSY.D,LLP,LMSW,ACSW
• Casey J Bradley, DOULA
• John Brooks Bradley, R.PH.
• Gwieneverea Delyce Brandon, M.D.
• Gladys Brass, RN
• James Daniel Bray, LPC
• Ednitra Brazier, OTR/L
• Travis Breazeale, PT

• Psychiatric/Mental Health Nurse Practitioner in Fort Hood, TX
• Providers in Fort Hood, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.