Mary Katherine Bradley, MS/CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3691 Issued in KY

Practice address

1427 Everett Ave
Apt 3
Louisville, KY 40204-2228

Phone

(270) 839-5025

NPI assigned

Jul 16, 2013

Last updated

Apr 14, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in KY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460592000000",
    "number": "1821439969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 EVERETT AVE",
            "address_2": "APT 3",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402042228",
            "telephone_number": "270-839-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 EVERETT AVE",
            "address_2": "APT 3",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402042228",
            "telephone_number": "270-839-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "credential": "MS/CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-16",
        "last_updated": "2016-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "3691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Adam Bradley, MD
• Jessica K Bradley, LCSW
• Kara Bradley
• Kathryn Marie Bradley, PSY.D.
• Kathryn R Bradley, MD
• Rebecca Bradley, APRN
• Troy Bradley, RN, BSN
• Victoria K Bradley, BA, RBT
• Allyson Nicole Bradow, PSYD,
• Alex Bradshaw, MS, OTR/L

• Speech-Language Pathologist in Louisville, KY
• Providers in Louisville, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.