TYLER J BRADLEY
NPI 1164940110
Student in an Organized Health Care Education/Training Program in Indiana, PA

Q: What is Tyler Bradley's NPI number?

The NPI number for Tyler Bradley is 1164940110. It was assigned to this individual provider in the NPPES registry on August 30, 2017.

Q: What is Tyler Bradley's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Bradley was last updated on August 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since August 30, 2017

1090 SOUTH DRIVE, INDIANA, PA 15701(724) 357-2100 Get Directions Write a Review

NPPES record last updated: August 30, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Tyler J Bradley NPPES

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

TYLER J BRADLEY (NPI 1164940110) is an individual student in an organized health care education/training program in Indiana, Pennsylvania and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1164940110

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameTYLER J BRADLEY

Location Address1090 SOUTH DRIVEIndiana, PA 15701-1570

Mailing Address4 Hertzel StreetWarren, PA 16365 · (814) 688-9528

Phone(724) 357-2100

Sole ProprietorNo

Enumeration DateAugust 30, 2017

✔ NPI 1164940110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X

1090 SOUTH DRIVE, Indiana, PA 15701

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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 Tyler Bradley's NPI number?

The NPI number for Tyler Bradley is 1164940110. It was assigned to this individual provider in the NPPES registry on August 30, 2017.

Where is Tyler Bradley located?

Tyler Bradley practices at 1090 South Drive, Indiana, PA 15701. The listed phone number is (724) 357-2100.

What is Tyler Bradley's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Tyler Bradley was last updated on August 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.