Delorean Bradley

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

160588 Issued in OH

Practice address

2500 Corporate Exchange Dr Ste 220
Columbus, OH 43231-7601

Phone

(614) 268-3800

NPI assigned

Apr 2, 2018

Last updated

Apr 2, 2018By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1982100608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 CORPORATE EXCHANGE DR STE 220",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432317601",
            "telephone_number": "614-268-3800",
            "fax_number": "614-261-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 CORPORATE EXCHANGE DR STE 220",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432317601",
            "telephone_number": "614-268-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "DELOREAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "160588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marsha E Bradley Stockton, CRNA
• Aiesha Nicole Bradley
• Almeta Nanice Bradley, LPN
• Andrea Jean Bradley
• Beth Vanette Bradley, LSW
• Derria Bradley
• Domenic Bradley
• Elisa A Bradley, M.D.
• Evie L Bradley, MSW
• Gabrielle Bradley, CDCA

• Licensed Practical Nurse in Columbus, OH
• Providers in Columbus, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; 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.