Organization Active NPI

Bradley Center PC

Doing business as EPIC Functional Medicine Center

  • Family Medicine Physician
  • Iowa City, IA
National Provider Identifier
1881978047
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BRADLEY CENTER PC
Doing business as
EPIC Functional Medicine Center
Practice address
1527 S Gilbert St
Iowa City, IA 52240-4367
Phone
(319) 466-0026
NPI assigned
Oct 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jason T Bradley, D.C., N.D., M.A.NPI 1518940386
Title
Director
Phone
(319) 466-0026

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1527 S Gilbert St
Iowa City, IA 52240-4367

Mailing address

1527 S Gilbert St
Iowa City, IA 52240-4367
Phone (319) 466-0026

Other names 1

  • EPIC Functional Medicine Center Doing business as

National Provider Directory

National Provider Directory

Locations

1527 S Gilbert St
Iowa City, IA 52240
Phone (319) 466-0026

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565222400000",
    "number": "1881978047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 S GILBERT ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522404367",
            "telephone_number": "319-466-0026",
            "fax_number": "319-540-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 S GILBERT ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522404367",
            "telephone_number": "319-466-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-06",
        "last_updated": "2019-08-08",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "319-466-0026",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., N.D., M.A."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EPIC Functional Medicine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.