Trudy Ann Bradley, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN277163 Issued in PA

Practice address

322 S College St
Myerstown, PA 17067-1213

Phone

(717) 202-5426

NPI assigned

Jan 25, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516838400000",
    "number": "1649778549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 S COLLEGE ST",
            "city": "MYERSTOWN",
            "state": "PA",
            "postal_code": "170671213",
            "telephone_number": "717-202-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 S COLLEGE ST",
            "city": "MYERSTOWN",
            "state": "PA",
            "postal_code": "170671213",
            "telephone_number": "717-202-5426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "TRUDY",
        "middle_name": "ANN",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN277163",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PNW00000X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheri Lynn Balderrama
• Heidi Renae Bashore
• Ashlin Becker, OTR/L
• Gerald Michael Behm
• Andrew Adel Botros, PHARMD
• Nicholas A Buckwalter, MD
• Ann Bunch, D.C.
• Lexi Rae Camp
• Jonathan Robert Clark, PHARMD
• Annika Christine Colon, DPT, PT

• Licensed Practical Nurse in Myerstown, PA
• Providers in Myerstown, PA by specialty
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.