Individual provider Active NPI

Bradley Li

  • Emergency Medicine Physician
  • Chester, PA
National Provider Identifier
1679735757
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD443392 Issued in PA
Practice address
1 Medical Center Blvd
Chester, PA 19013-3995
Phone
(410) 841-8543
NPI assigned
Jun 30, 2008
Sex
Male
Sole proprietor
No

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
New York Medical College, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Line Emergency Med Associates LLC 51 clinicians

Practice addresses (Care Compare)

1068 W Baltimore Pike
Media, PA 19063-5104
Phone (484) 337-3583

Hospital & facility affiliations

  • Riddle Memorial Hospital Hospital, Media, PA, CCN 390222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20110822000266 PA Practitioner - Emergency Medicine 4183894561 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L2287382MIMDEmergency Medicine Physician
MD443392PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Emergency Med Associates LLC Emergency Medicine CurrentSince Oct 9, 2023 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Emergency Medicine CurrentSince Jul 10, 2019 Accepting new patients
Prospect Health Access Network, Inc. Emergency Medicine CurrentSince Sep 1, 2016 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Emergency Medicine CurrentSince Jul 10, 2019 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Sep 1, 2016 Accepting new patients
Riddle Memorial Hospital Past Accepting new patients

Locations

56 W Main St
Ste 305
Christiana, DE 19702

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

501 N Lansdowne Ave
Drexel Hill, PA 19026
Phone (610) 284-8100

1068 W Baltimore Pike
Media, PA 19063
Phone (610) 566-9400

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD443392 PA Primary
Emergency Medicine Physician 207P00000X L2287382 MI

Addresses

NPPES NPI Registry

Primary practice location

1 Medical Center Blvd
Chester, PA 19013-3995

Mailing address

10 Oakmont Cir
Glen Mills, PA 19342-1822
Phone (410) 841-8543

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 10, 2022.

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1679735757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 OAKMONT CIR",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421822",
            "telephone_number": "410-841-8543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133995",
            "telephone_number": "410-841-8543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "BRADLEY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD443392",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "L2287382",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, PA

Sources for this page

Verify at the official NPI Registry.