Individual provider Active NPI

Jason E Bradley, NP

  • Family Nurse Practitioner
  • Coraopolis, PA
National Provider Identifier
1932628484
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP017959 Issued in PA
Practice address
100 Gorwood Dr
Coraopolis, PA 15108-9374
Phone
(412) 336-8550
NPI assigned
Sep 15, 2017
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11013995 FL
Family Nurse Practitioner 363LF0000X SP017959 PA Primary

Addresses

Primary practice location

100 Gorwood Dr
Coraopolis, PA 15108-9374

Mailing address

100 Gorwood Dr
Coraopolis, PA 15108-9374
Phone (412) 336-8550

Other practice location 1

200 Quinn Dr Ste 160
Pittsburgh, PA 15275-1055
Phone (412) 722-1003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20171213001581 PA Practitioner - Nurse Practitioner 6800154253 Reassigns benefits to 8 organizations
I20190824000325 OH Practitioner - Nurse Practitioner 6800154253 Reassigns benefits to 3 organizations
I20211012001036 FL Practitioner - Nurse Practitioner 6800154253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ahn Observation Group, LLCGroup PAC ID 1557753811, 28 clinicians

Practice addresses (Care Compare)

12351 Perry Hwy
Wexford, PA 15090-8344
Phone (878) 231-5100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mahoning Valley Emergency Specialists LLC CurrentSince Jul 1, 2019 Accepting new patients
Lawrence County Medical Associates CurrentSince Oct 3, 2022 Accepting new patients
Mves Boardman LLC CurrentSince Jul 1, 2019 Accepting new patients
University of Pittsburgh Physicians CurrentSince Nov 1, 2017 Accepting new patients
Ahn Observation Group LLC CurrentSince May 24, 2025 Accepting new patients
University of Pittsburgh Physicians CurrentSince Nov 1, 2017 Accepting new patients
Visavis Health Care Medical Group of Pennsylvania PLLC CurrentSince Mar 12, 2024 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Signify Health, LLC CurrentSince Dec 2, 2024 Accepting new patients
Ahn Hospitalist Group, LTD CurrentSince May 24, 2025 Accepting new patients
Ahn Emergency Group of Canonsburg LTD. CurrentSince May 24, 2025 Accepting new patients
Visavis Health Care Medical Group of FL, PLLC CurrentSince Mar 12, 2024 Accepting new patients

Locations

10150 Highland Manor Dr
Ste 300
Tampa, FL 33610
Phone (813) 558-6600

12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515

831 Bedford Ave
Brooklyn, NY 11205

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

1950 Niles Cortland Rd NE
Warren, OH 44484
Phone (234) 600-5752

667 Eastland Ave SE
Warren, OH 44484
Phone (330) 841-2378

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929

100 Medical Blvd
Canonsburg, PA 15317
Phone (412) 359-4138

464 Allegheny Blvd
Ste 2A
Franklin, PA 16323
Phone (814) 432-2234

1075 N Hermitage Rd
Hermitage, PA 16148
Phone (724) 308-3640

835 Hospital Rd
Indiana, PA 15701
Phone (724) 357-7000

565 Coal Valley Rd
Jefferson Hls, PA 15025
Phone (412) 469-5308

1301 Carlisle St
Natrona Hts, PA 15065
Phone (724) 224-5100

2520 Wilmington Rd
New Castle, PA 16105
Phone (724) 658-7550

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

300 Halket St
Ste 5200
Pittsburgh, PA 15213
Phone (412) 641-7850

30 West Ave
Wayne, PA 19087
Phone (610) 688-3235

12351 Perry Hwy
Wexford, PA 15090
Phone (412) 359-3030

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

7300 State Highway 121
Ste 300374
McKinney, TX 75070

Interoperability endpoints

  • Direct secure messaging: jbradley1051024@direct.ahn.org

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1932628484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GORWOOD DR",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151089374",
            "telephone_number": "412-336-8550",
            "fax_number": "941-200-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GORWOOD DR",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151089374",
            "telephone_number": "412-336-8550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Quinn Dr Ste 160",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152751055",
            "country_code": "US",
            "telephone_number": "412-722-1003",
            "fax_number": "412-722-1024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "JASON",
        "middle_name": "E",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-15",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11013995",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP017959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coraopolis, PA

Sources for this page

Verify at the official NPI Registry.