Shuchemia Nicole Bradley

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Practice address

7725 Saint Andrews Rd Ste 3
Irmo, SC 29063-2957

Phone

(770) 865-8600

NPI assigned

Apr 11, 2021

Sex

Female

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

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

{
    "created_epoch": "1618099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618099200000",
    "number": "1972183275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7725 SAINT ANDREWS RD STE 3",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632957",
            "telephone_number": "770-865-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7725 SAINT ANDREWS RD STE 3",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632957",
            "telephone_number": "770-865-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "SHUCHEMIA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-11",
        "last_updated": "2021-04-11",
        "certification_date": "2021-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel P Bouknight, MD.
• Bobbie Boulware, RN
• Calvin Victor Boykin Jr., D.M.D
• Raven Boykin
• Ashley Elaine Bradley
• Caroline Ferrell Branchal, D.M.D
• Terry Brand, RRT
• Lee Brasche
• David Keith Bridgers, MD
• Jeanne Bridges, RN

• Prosthetics Case Management in Irmo, SC
• Providers in Irmo, SC by specialty
• Prosthetics Case Management in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2021; 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.