MR. DANIEL CORY BRADLEY NP
NPI 1124975354
Nurse Practitioner - Gerontology in Bloomington, IN

Q: What is Daniel Bradley's NPI number?

The NPI number for Daniel Bradley is 1124975354. It was assigned to this individual provider in the NPPES registry on March 16, 2026.

Q: What is Daniel Bradley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Bradley was last updated on June 3, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 16, 2026PECOS Enrolled

2651 E DISCOVERY PKWY, BLOOMINGTON, IN 47408(812) 676-4144(812) 339-8344 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 3, 2026, Mar 16, 2026 (2 updates tracked since 2026).

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About Mr. Daniel Cory Bradley Np NPPES

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

MR. DANIEL CORY BRADLEY NP (NPI 1124975354) is an individual gerontology provider in Bloomington, Indiana, licensed in Indiana (71017978A) and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1124975354

Entity TypeIndividualMale

Primary Taxonomy363LG0600X

Provider Legal NameMR. DANIEL CORY BRADLEYCredential: NP

Location Address2651 E DISCOVERY PKWYBloomington, IN 47408-9059

Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959

Phone(812) 676-4144

Fax(812) 339-8344

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateMarch 16, 2026

Last NPPES UpdateJune 3, 20262 updates tracked since enumeration

NPPES CertifiedJune 3, 2026

✔ NPI 1124975354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in IN · 71017978A

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 28207936A (IN)

Also ListedNurse Practitioner · Critical Care MedicineTaxonomy 363LC0200X · License 71017978A (IN)

2651 E DISCOVERY PKWY, Bloomington, IN 47408

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Daniel Cory Bradley Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850869645

PECOS Enrollment IDI20260511001263

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 47408 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.