Active NPI
Jillian Marie Brady, NNP
- Critical Care Neonatal Nurse Practitioner
- Lebanon, NH
National Provider Identifier
1932453511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Neonatal Nurse Practitioner
- License
- 074977-23
- Practice address
- 1 Medical Center Dr
Neonatology
Lebanon, NH 03756-1000 - Phone
- (603) 653-6063
- NPI assigned
- Nov 2, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 074977-23 | NH | |
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | 074977-23 | NH | Primary |
Addresses
Primary practice location
1 Medical Center Dr
Neonatology
Lebanon, NH 03756-1000
Mailing address
1 Medical Center Dr
Neonatology
Lebanon, NH 03756-1000
Phone (603) 653-6063
Other names 1
- Jillian Marie Bergmann
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 074977-23 | NH | MD | Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brattleboro Memorial Hospital | Current | Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Current | Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Current | Accepting new patients | |
| Elliot Professional Services | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Neonatal and Pediatric Intensivist Services of New Hampshire, LLC | Current | Accepting new patients | |
| Intensive Care Consortium Inc | Past | Accepting new patients |
Locations
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931
1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271
17 Belmont Ave
Brattleboro, VT 05301
Phone (802) 257-8360
Interoperability endpoints
- jbrady254587@direct.dartmouth-hitchcock.org
- https://fhir-myrecord.cerner.com/r4/d9dc001d-1bc5-42f9-bd4d-eb79208fd32a/
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Lebanon, NH
- NPI 1548210198
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1023092053
-
- Pediatrics Physician
- Manchester, NH
- NPI 1710773510
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Lebanon, NH
- NPI 1124681846
-
- Internal Medicine Physician
- Manchester, NH
- NPI 1285627935
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1629788237
-
- Psychiatric Hospital
- Hampstead, NH
- NPI 1699584219
-
- General Acute Care Hospital
- Brattleboro, VT
- NPI 1306849708
-
- Specialist
- Aventura, FL
- NPI 1629019062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755820800000",
"number": "1932453511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"address_2": "NEONATOLOGY",
"city": "LEBANON",
"state": "NH",
"postal_code": "037561000",
"telephone_number": "603-653-6063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"address_2": "NEONATOLOGY",
"city": "LEBANON",
"state": "NH",
"postal_code": "037561000",
"telephone_number": "603-653-6063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADY",
"first_name": "JILLIAN",
"middle_name": "MARIE",
"credential": "NNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-02",
"last_updated": "2025-08-22",
"certification_date": "2025-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "NH",
"license": "074977-23",
"primary": false
},
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "NH",
"license": "074977-23",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JILLIAN",
"last_name": "BERGMANN",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.