1336395839 NPI number — MRS. NANCY CLAIRE BRADLEY R.D., L.D., C.D.E.

Table of content: MRS. NANCY CLAIRE BRADLEY R.D., L.D., C.D.E. (NPI 1336395839)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336395839 NPI number — MRS. NANCY CLAIRE BRADLEY R.D., L.D., C.D.E.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BRADLEY
Provider First Name:
NANCY
Provider Middle Name:
CLAIRE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
R.D., L.D., C.D.E.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1336395839
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/24/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1020 N MASON RD
Provider Second Line Business Mailing Address:
PROFESSIONAL BUILDING 3, SUITE 200
Provider Business Mailing Address City Name:
CREVE COEUR
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
63141-6300
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
314-996-3206
Provider Business Mailing Address Fax Number:
314-996-3270

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1020 N MASON RD
Provider Second Line Business Practice Location Address:
PROFESSIONAL BUILDING 3, SUITE 200
Provider Business Practice Location Address City Name:
CREVE COEUR
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63141-6300
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
314-996-3206
Provider Business Practice Location Address Fax Number:
314-996-3270
Provider Enumeration Date:
08/15/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 133V00000X , with the licence number:  2001008301 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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