Active NPI
Trey J Bradley, NP
- Gerontology Nurse Practitioner
- Bloomington, IN
National Provider Identifier
1821916560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 71018212A
- Practice address
- 2651 E Discovery Pkwy
Bloomington, IN 47408-9059 - Phone
- (812) 331-3400
- Fax
- (812) 332-7265
- NPI assigned
- Jul 9, 2026
- Last updated
- Oct 5, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 71018212A | IN | |
| Gerontology Nurse Practitioner | 363LG0600X | 71018212A | IN | Primary |
Addresses
Primary practice location
2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300136328 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tbradley@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791158400000",
"number": "1821916560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2651 E DISCOVERY PKWY",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474089059",
"telephone_number": "812-331-3400",
"fax_number": "812-332-7265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "TREY",
"middle_name": "J",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-07-09",
"last_updated": "2026-10-05",
"certification_date": "2026-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "IN",
"license": "71018212A",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "IN",
"license": "71018212A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300136328",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tbradley@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2651 E Discovery Pkwy",
"city": "Bloomington",
"state": "IN",
"country_code": "US",
"postal_code": "474089059",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.