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JENNIFER BLASE BRADLEY PA-C NPI 1427145317


NPI Information

NPI: 1427145317
Provider Name: JENNIFER BLASE BRADLEY, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
13430 N MERIDIAN ST
SUITE 275
CARMEL, IN
ZIP 46032
Phone: (317) 582-8810
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Jennifer Blase Bradley, PA-C is a surgical physician assistant in Carmel, IN with 19 years of experience. Jennifer Blase Bradley, PA-C NPI is 1427145317. 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:

13430 N MERIDIAN ST
SUITE 275
CARMEL, IN
ZIP 46032-405
Phone: (317) 582-8810
Fax: (317) 582-8863

The NPI 1427145317 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of gallbladder using an endoscope (HCPCS:47562)

The enumeration date for this NPI number is 10/10/2006 and was last updated on 6/1/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AS0400XPhysician AssistantSurgical085-002534ILLINOISNo
2363AS0400XPhysician AssistantSurgical10001216AINDIANAYes

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: 4/28/2024

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.