Darla Jo Bradle, APN, CNS-BC

Primary specialty

Critical Care Medicine Clinical Nurse SpecialistTaxonomy code 364SC0200X

License

209.003000 Issued in IL

Practice address

2222 E State St
Suite 209
Rockford, IL 61104-1573

Phone

(815) 988-8500

Fax

(815) 977-5956

NPI assigned

Feb 13, 2013

Last updated

Feb 13, 2013By 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

State licenses

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

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1841539616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 E STATE ST",
            "address_2": "SUITE 209",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611041573",
            "telephone_number": "815-988-8500",
            "fax_number": "815-977-5956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 E STATE ST",
            "address_2": "SUITE 209",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611041573",
            "telephone_number": "815-988-8500",
            "fax_number": "815-977-5956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLE",
        "first_name": "DARLA",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "APN, CNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-13",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SC0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Critical Care Medicine",
            "state": "IL",
            "license": "209.003000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison M Bozovsky, LMFT
• BP Dental
• Jamie Lynn Brackemyer, M.S., CCC-SLP
• Lindsay Ann Brackney, MD
• Braden Partners LP (Pacific Pulmonary Services)
• Sasha Kate Bradle, PHARMD
• Sarah Bradley, M.D.
• Michelle A Brady, F.N.P.
• Kathryn E Bramble, PA-C
• Cynthia Antoinett Brander, PSY.D.

• Clinical Nurse Specialist in Rockford, IL
• Providers in Rockford, IL by specialty
• Clinical Nurse Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.