Active NPI
Bridget Gallagher Bradenham, CRNP, FNP
- Family Nurse Practitioner
- Philadelphia, PA
National Provider Identifier
1821895269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP031803
- Practice address
- 2200 Arch St
Philadelphia, PA 19103-1330 - Phone
- (215) 561-9100
- NPI assigned
- Feb 25, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP031803 | PA | Primary |
| Registered Nurse | 163W00000X | RN700484 | PA |
Addresses
Primary practice location
2200 Arch St
Philadelphia, PA 19103-1330
Mailing address
8113 Ardmore Ave
Wyndmoor, PA 19038-8419
Phone (215) 510-6638
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN700484 | PA | MD | Registered Nurse |
| SP031803 | PA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740441600000",
"number": "1821895269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8113 ARDMORE AVE",
"city": "WYNDMOOR",
"state": "PA",
"postal_code": "190388419",
"telephone_number": "215-510-6638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 ARCH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191031330",
"telephone_number": "215-561-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADENHAM",
"first_name": "BRIDGET",
"middle_name": "GALLAGHER",
"credential": "CRNP, FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-25",
"last_updated": "2025-02-25",
"certification_date": "2025-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP031803",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN700484",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.