JOHN C. BRADLEY CRNA NPI 1871660555

NPI Information

  • NPI: 1871660555
  • Provider Name: JOHN C. BRADLEY, CRNA
  • Classification: Nurse Anesthetist, Certified Registered - 367500000X
  • Entity Type: Individual
  • Address: 9104 MARKET ST
    WILMINGTON, NC
    ZIP 28411
  • Phone: (301) 694-3400

Map and Directions

Get Directions

NPI Details

John C. Bradley, CRNA is a nurse anesthetist certified registered in Wilmington, NC. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. John C. Bradley, CRNA NPI is 1871660555. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9104 MARKET ST
WILMINGTON, NC
ZIP 28411-994
Phone: (301) 694-3400
Fax: (301) 694-3620

The enumeration date for this NPI number is 11/29/2006 and was last updated on 4/30/2011.

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
1367500000XNurse Anesthetist, Certified RegisteredR118379MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1R118379OTHERMARYLANDLICENSE
2138979Y2MMEDICARE PINMARYLAND
3S417 0030OTHERDISTRICT OF COLUMBIACAREFIRST BCBS
4NNO4M380MEDICARE ID-TYPE UNSPECIFIEDMARYLAND
5KBC1CHOTHERMARYLANDCAREFIRST BCBS
6P00728709OTHERMARYLANDMEDICARE RAILROAD (GRP PTAN CJ8689)
7P00745073OTHERMARYLANDMEDICARE RAILROAD (GRP PTAN DD6120)
8403621200MEDICAIDMARYLAND

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: 11/21/2025

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