Active NPI
M Kathleen Bradley, PD
- Pharmacist
- Seymour, IN
National Provider Identifier
1851457956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26013884
- Practice address
- 105 W 2ND St
Seymour, IN 47274-2173 - Phone
- (812) 522-5409
- Fax
- (812) 523-2300
- NPI assigned
- Dec 31, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26013884 | IN | Primary |
Addresses
Primary practice location
105 W 2ND St
Seymour, IN 47274-2173
Mailing address
9139 N County Road 1200 E
Seymour, IN 47274-9741
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 |
|---|---|---|---|
| 26013884 | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851457956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9139 N COUNTY ROAD 1200 E",
"city": "SEYMOUR",
"state": "IN",
"postal_code": "472749741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 W 2ND ST",
"city": "SEYMOUR",
"state": "IN",
"postal_code": "472742173",
"telephone_number": "812-522-5409",
"fax_number": "812-523-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "M KATHLEEN",
"name_prefix": "Dr.",
"credential": "PD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26013884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seymour, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.