Jacqueline C Bradley, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP7721 Issued in CA

Practice address

401 Gregory LN
Suite 104
Pleasant Hill, CA 94523-2800

Phone

(925) 682-2401

Fax

(925) 674-4721

NPI assigned

Jul 18, 2006

Last updated

Jun 17, 2012By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339891200000",
    "number": "1760401012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 34929",
            "address_2": "P.O. BOX 39000",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941390001",
            "telephone_number": "925-952-2828",
            "fax_number": "925-952-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 GREGORY LN",
            "address_2": "SUITE 104",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232800",
            "telephone_number": "925-682-2401",
            "fax_number": "925-674-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "JACQUELINE",
        "middle_name": "C",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2012-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP7721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greg Boone
• Boris la Noire DDS Inc
• Brian Bourke
• William Joseph Bove
• Robert Owen Boyd, PHD
• Kelly Woods Bradley
• Mae Bragen, MA MFT
• Peter Brandes II, MD
• Stephanie Brannon, PT, DPT
• Latoya Renee' Braxton, M.ED, ED.S,IMF,PCCI

• Nurse Practitioner in Pleasant Hill, CA
• Providers in Pleasant Hill, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.