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TIMOTHY BRADBURY LPN
NPI 1063209120
Licensed Practical Nurse in Avon, IN

Active since April 22, 2025
1548 DORSET DR, AVON, IN 46123(317) 480-0421 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy Bradbury Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY BRADBURY LPN (NPI 1063209120) is an individual licensed practical nurse in Avon, Indiana, licensed in Indiana (27042942A) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1063209120
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameTIMOTHY BRADBURYCredential: LPN
Location Address1548 DORSET DRAvon, IN 46123-5321
Mailing Address1548 Dorset DrAvon, IN 46123-5321 · (317) 480-0421
Phone(317) 480-0421
Sole ProprietorNo
Enumeration DateApril 22, 2025
Last NPPES UpdateApril 23, 2025
NPPES CertifiedApril 23, 2025
✔ NPI 1063209120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in IN · 27042942A
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1548 DORSET DR, Avon, IN 46123
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INTEGRATIVE HEALTH CARE SERVICES OF INDIANA
Case Manager/Care Coordinator
1548 DORSET DR
AVON, IN 46123
Hendricks County (317) 480-0421
CRYSTAL LEA MCAVOY LPN
Case Manager/Care Coordinator
1548 DORSET DR
AVON, IN 46123
Hendricks County (317) 480-0421

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Bradbury's NPI number?

The NPI number for Timothy Bradbury is 1063209120. It was assigned to this individual provider in the NPPES registry on April 22, 2025.

Where is Timothy Bradbury located?

Timothy Bradbury practices at 1548 Dorset Dr, Avon, IN 46123. The listed phone number is (317) 480-0421.

What is Timothy Bradbury's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Timothy Bradbury was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.