Active NPI
Eboni Gwendolyn Bradley
- Nurse's Aide
- Southfield, MI
National Provider Identifier
1891402277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- Practice address
- 24100 Southfield Rd Ste 335E
Southfield, MI 48075-2819 - Phone
- (248) 262-7372
- NPI assigned
- Nov 3, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Nurse's Aide | 376K00000X | Primary |
Addresses
Primary practice location
24100 Southfield Rd Ste 335E
Southfield, MI 48075-2819
Mailing address
24100 Southfield Rd Ste 335E
Southfield, MI 48075-2819
Phone (248) 262-7372
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | bradleycareservices@yahoo.com | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bradley Care Services LLC | Multi-Specialty | Current | Accepting new patients |
Locations
24100 Southfield Rd
Ste 335E
Southfield, MI 48075
Phone (248) 262-7372
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667433600000",
"number": "1891402277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24100 SOUTHFIELD RD STE 335E",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480752819",
"telephone_number": "248-262-7372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24100 SOUTHFIELD RD STE 335E",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480752819",
"telephone_number": "248-262-7372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "EBONI",
"middle_name": "GWENDOLYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-03",
"last_updated": "2022-11-03",
"certification_date": "2022-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "bradleycareservices@yahoo.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "mail",
"address_1": "24100 Southfield Rd Ste 335E",
"city": "Southfield",
"state": "MI",
"country_code": "US",
"postal_code": "480752819",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.