Active NPI
Denise Bradley, CRNP
- Adult Health Nurse Practitioner
- Warrington, PA
National Provider Identifier
1871821207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- SP010599
- Practice address
- 1021 Surrey LN
Warrington, PA 18976-2713 - Phone
- (215) 343-0366
- NPI assigned
- Nov 23, 2009
- Last updated
- Nov 23, 2009
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | SP010599 | PA | Primary |
Addresses
Primary practice location
1021 Surrey LN
Warrington, PA 18976-2713
Mailing address
1021 Surrey LN
Warrington, PA 18976-2713
Phone (215) 343-0366
Other names 1
- Mrs. Denise Bradley
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP010599 | PA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revolution Care, Inc. | Adult Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258934400000",
"number": "1871821207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 SURREY LN",
"city": "WARRINGTON",
"state": "PA",
"postal_code": "189762713",
"telephone_number": "215-343-0366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 SURREY LN",
"city": "WARRINGTON",
"state": "PA",
"postal_code": "189762713",
"telephone_number": "215-343-0366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "DENISE",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-23",
"last_updated": "2009-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "PA",
"license": "SP010599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DENISE",
"last_name": "BRADLEY",
"prefix": "MRS.",
"credential": "MSN, CRNP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Warrington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.