Organization Active NPI

John Bradley MD PC

  • Ophthalmology Physician
  • Silver Spring, MD
National Provider Identifier
1902987019
Registry record updated Dec 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0014024 Issued in MD
Legal business name
JOHN BRADLEY MD PC
Practice address
13975 Connecticut Ave
Suite 204
Silver Spring, MD 20906
Phone
(301) 460-8377
Fax
(301) 460-3794
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2009

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

Authorized official

Name
Dr. John C Bradley, M.D.
Title
Owner
Phone
(301) 460-8377

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X D0014024 MD Primary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X MD5818 DC

Addresses

Primary practice location

13975 Connecticut Ave
Suite 204
Silver Spring, MD 20906

Mailing address

11017 Daybreak Court
Rockville, MD 20852-4107
Phone (301) 460-8377

Other names 1

  • John C Bradley, M.D. Other name

National Provider Directory

National Provider Directory

Locations

13975 Connecticut Ave
Ste 204
Silver Spring, MD 20906
Phone (301) 460-8377

Practitioners & affiliated clinicians

Practitioners 2

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": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260576000000",
    "number": "1902987019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11017 DAYBREAK COURT",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524107",
            "telephone_number": "301-460-8377",
            "fax_number": "301-460-3794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13975 CONNECTICUT AVE",
            "address_2": "SUITE 204",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20906",
            "telephone_number": "301-460-8377",
            "fax_number": "301-460-3794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN BRADLEY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2009-12-12",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-460-8377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0014024",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "DC",
            "license": "MD5818",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John C Bradley, M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.

Verify at the official NPI Registry.