Bradley a. Connor, MD, PLLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

149337 Issued in NY

Legal business name

BRADLEY A. CONNOR, MD, PLLC

Practice address

50 E 69TH St
New York, NY 10021-5016

Phone

(212) 988-2800

Fax

(212) 988-5340

NPI assigned

Sep 4, 2007

Organization subpart

No

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

Authorized official

Name

Bradley A. Connor, M.D.

Title

Owner

Phone

(212) 988-2800

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8525/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marina Rogova, FNP

  • Family Nurse Practitioner
  • New York, NY
  • NPI 1538783105
  Medicare reassignment

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1962696922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E 69TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215016",
            "telephone_number": "212-988-2800",
            "fax_number": "212-988-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E 69TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215016",
            "telephone_number": "212-988-2800",
            "fax_number": "212-988-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY A. CONNOR, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "CONNOR",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-988-2800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "149337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PROVIDER",
            "identifier": "WAW851",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colette Naylor Bradford, ANP
• Kimberly Bradford, MS CCC-SLP
• Melissa Bradford, PA-C
• Michael Bradford, LMSW
• Rojel Montane Bradford, MD
• Bradley and Monson Physical Therapy LLP
• Bradley and Monson PT
• Bradley Arden Radwaner, M.D., P.C.
• Bradley Wasserman, M.D., PLLC
• Arlene Bradley-Lester, MSED.

• Gastroenterology Physician in New York, NY
• Providers in New York, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.