Steven Bradley, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

672832 Issued in TX

Practice address

9734 Dakota Bay
Converse, TX 78109-2942

Phone

(210) 316-4843

NPI assigned

May 24, 2012

Last updated

May 24, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337817600000",
    "number": "1932469970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9734 DAKOTA BAY",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781092942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9734 DAKOTA BAY",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781092942",
            "telephone_number": "210-316-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "STEVEN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-24",
        "last_updated": "2012-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "672832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Blackmon
• John Scott Blase, O.D.
• Barbara Boemer, RN
• Venita Lynn Bowie, PHARM.D.
• Boysville
• Christa Brantley, LPC
• Ryan Noble Broderick, DMD
• Chela Lacinda Brown, LVN
• Deborah H. Brown, LPC
• Derrick Troy Burnett

• Registered Nurse in Converse, TX
• Providers in Converse, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; 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.