JENNIFER ELAINE BRADBERRY ATC
NPI 1104964568
Specialist in Duluth, GA

Active since February 01, 2007
6340 SUGARLOAF PKWY, SUITE 375, DULUTH, GA 30097(770) 814-2223(770) 814-2232 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Elaine Bradberry Atc NPPES

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

JENNIFER ELAINE BRADBERRY ATC (NPI 1104964568) is an individual specialist in Duluth, Georgia, licensed in Georgia (AT001336) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1104964568
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameJENNIFER ELAINE BRADBERRYCredential: ATC
Location Address6340 SUGARLOAF PKWY, SUITE 375Duluth, GA 30097-4333
Mailing Address3175 Superior DrDacula, GA 30019-3417 · (404) 401-5812
Fax(770) 814-2232
Sole ProprietorYes
Enumeration DateFebruary 1, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1104964568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in GA · AT001336
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
6340 SUGARLOAF PKWY, Duluth, GA 30097

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

Psychiatry & Neurology (Child & Adolescent Psychiatry)
6340 SUGARLOAF PKWY, SUITE 200
DULUTH, GA 30097
Physical Therapist
6340 SUGARLOAF PKWY, SUITE 125
DULUTH, GA 30097
Home Health
6340 SUGARLOAF PKWY
DULUTH, GA 30097
Counselor (Mental Health)
6340 SUGARLOAF PKWY, SUITE 200
DULUTH, GA 30097
Physical Therapist
6340 SUGARLOAF PKWY
DULUTH, GA 30097
Physical Therapist
6340 SUGARLOAF PKWY
DULUTH, GA 30097
Health Maintenance Organization
6340 SUGARLOAF PKWY, SUITE 200
DULUTH, GA 30097
Orthopaedic Surgery (Sports Medicine)
6340 SUGARLOAF PKWY, STE 375
DULUTH, GA 30097

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 Jennifer Bradberry's NPI number?

The NPI number for Jennifer Bradberry is 1104964568. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Where is Jennifer Bradberry located?

Jennifer Bradberry practices at 6340 Sugarloaf Pkwy Suite 375, Duluth, GA 30097. The listed phone number is (770) 814-2223.

What is Jennifer Bradberry's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jennifer Bradberry was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.