Angeline Bradwell, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP018911 Issued in PA

Practice address

1016 Warrior Rd Ste B
Drexel Hill, PA 19026-4845

Phone

(302) 238-6200

NPI assigned

Aug 8, 2018

Sex

Female

Sole proprietor

No

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.

• Precision Care & Wellness, LLC

  • Primary Care Clinic/Center
  • Wilmington, DE
  • NPI 1285191494

  DE

  Medicare reassignment NPD

Medicare fee-for-service enrollment

Enrolled in DE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 26, 2024.

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1669951075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 DREXEL AVE STE B",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190264002",
            "telephone_number": "302-238-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 WARRIOR RD STE B",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190264845",
            "telephone_number": "302-238-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADWELL",
        "first_name": "ANGELINE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0011863",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP018911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Bills
• Edward Melvin Bleeden, M.D.
• Edward J Block, DPM
• Bloomfield Dental
• Isabelle Boisvert
• Margaret Yvonne Brady, R.N.
• Amarjot Brar
• Brave New Things
• Katherine Brennan
• Jillian Breuninger

• All providers in Drexel Hill, PA
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.