Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KATHLEEN BRADLEY PMHNP
NPI 1093689333
Nurse Practitioner - Psychiatric/Mental Health in Baltimore, MD

Active since September 30, 2025PECOS EnrolledAccepts Medicare Assignment
1700 UNION AVE, BALTIMORE, MD 21211(410) 220-1148(410) 384-6365 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2026, Dec 17, 2025 (2 updates tracked since 2025).

About Kathleen Bradley Pmhnp NPPES

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

KATHLEEN BRADLEY PMHNP (NPI 1093689333) is an individual psychiatric/mental health provider in Baltimore, Maryland, licensed in Maryland (AC008174) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hagerstown, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1093689333
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKATHLEEN BRADLEYCredential: PMHNP
Location Address1700 UNION AVEBaltimore, MD 21211-1499
Mailing Address1700 Union AveBaltimore, MD 21211-1499 · (304) 283-8838
Fax(410) 384-6365
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 30, 2025
Last NPPES UpdateJuly 9, 20262 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
NPI 1093689333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MD · AC008174
1700 UNION AVE, Baltimore, MD 21211

Secondary Practice Location 1

Location 11101 Opal Ct Ste 217Hagerstown, MD 21740-5941 · Phone (865) 804-4067 · Fax (240) 407-8315

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kathleen Bradley Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476045055
PECOS Enrollment IDI20251121000131
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21211 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

Counselor
1700 UNION AVE
BALTIMORE, MD 21211
Social Worker (Clinical)
1700 UNION AVE
BALTIMORE, MD 21211
Counselor (Mental Health)
1700 UNION AVE
BALTIMORE, MD 21211
Social Worker
1700 UNION AVE
BALTIMORE, MD 21211
Social Worker (Clinical)
1700 UNION AVE
BALTIMORE, MD 21211
Counselor (Mental Health)
1700 UNION AVE
BALTIMORE, MD 21211
Social Worker (Clinical)
1700 UNION AVE
BALTIMORE, MD 21211
Community/Behavioral Health
1700 UNION AVE
BALTIMORE, MD 21211

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 Kathleen Bradley's NPI number?

The NPI number for Kathleen Bradley is 1093689333. It was assigned to this individual provider in the NPPES registry on September 30, 2025.

Where is Kathleen Bradley located?

Kathleen Bradley practices at 1700 Union Ave, Baltimore, MD 21211. The listed phone number is (410) 220-1148.

What is Kathleen Bradley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kathleen Bradley enrolled in Medicare?

Yes. Kathleen Bradley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kathleen Bradley was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.