Laura Nugent Bradley, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA-807 Issued in AL

Practice address

800 St. Vincent'S Drive
Suite 700
Birmingham, AL 35205-1630

Phone

(205) 933-8981

Fax

(205) 930-0746

NPI assigned

Mar 23, 2012

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

Other names 1

• Ms. Laura Ann Nugent Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1780950733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ST. VINCENT'S DRIVE",
            "address_2": "SUITE 700",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051630",
            "telephone_number": "205-933-8981",
            "fax_number": "205-930-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ST. VINCENT'S DRIVE",
            "address_2": "SUITE 700",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051630",
            "telephone_number": "205-933-8981",
            "fax_number": "205-930-0746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "LAURA",
        "middle_name": "NUGENT",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-23",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AL",
            "license": "PA-807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "NUGENT",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andria Joy Bradley, LICSW
• Angie Bradley
• Candice Patrice Bradley
• Charles N Bradley, CRNA
• Jennifer Renee Bradley, LPC
• Nicol Michelle Bradley, BEHAVIOR TECHNICIAN
• Sarah Rose Bradley, MD
• Shelby Paige Bradley
• Amanda Jade Bradshaw, CPNP
• Kenley Grace Bradshaw

• Surgical Physician Assistant in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Surgical Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.