MS. SUSANA BRADBURY CRNP NPI 1629520564

NPI Information

NPI: 1629520564
Provider Name: MS. SUSANA BRADBURY, CRNP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

Organization: PRIVIA MEDICAL GROUP, LLC

PECOS Registration: Yes

Address:
3800 RESERVOIR RD NW
MGUH DEPT OF SURGERGY 4 PHC
WASHINGTON, DC
ZIP 20007
Phone: (202) 444-5022
Get Directions

MS. Susana Bradbury, CRNP is a women's health nurse practitioner in Washington, DC with 8 years of experience. MS. Susana Bradbury, CRNP NPI is 1629520564. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3800 RESERVOIR RD NW
MGUH DEPT OF SURGERGY 4 PHC
WASHINGTON, DC
ZIP 20007-113
Phone: (202) 444-5022
Fax: (202) 444-3703

The NPI 1629520564 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/26/2016 and was last updated on 10/26/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LW0102X	Nurse Practitioner	Women's Health	R153079	MARYLAND	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »