Sylvia Anne Bradley, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

678069 Issued in TX

Practice address

8615 Lullwater Dr
Dallas, TX 75238-4754

Phone

(214) 221-0444

NPI assigned

Sep 21, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326844800000",
    "number": "1952397416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6986 DOVE CREEK DR",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750987750",
            "telephone_number": "972-442-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8615 LULLWATER DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752384754",
            "telephone_number": "214-221-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "SYLVIA",
        "middle_name": "ANNE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-21",
        "last_updated": "2012-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "175479",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "678069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Nicole Bradley, PHARMD
• Lyndsey Morgan Bradley, MD
• Michelle Harbaugh Bradley, PT, DPT, WCS
• Rebecca Michelle Bradley, P.T.D.P.T
• Robin Bradley
• Vincent Henry Bradley, M.D.
• Barbara Sue Bradshaw, MD
• Karen D Bradshaw, MD
• Bradtech Medical
• Brady Medical Group PLLC

• All providers in Dallas, TX
• Adult Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.