SAVANNAH BUSCH BRADLEY
NPI 1477445856
Student in an Organized Health Care Education/Training Program in Little Rock, AR

Active since July 18, 2025PECOS Enrolled
4301 W MARKHAM ST, LITTLE ROCK, AR 72205(501) 296-1100 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Savannah Busch Bradley NPPES

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

SAVANNAH BUSCH BRADLEY (NPI 1477445856) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477445856
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSAVANNAH BUSCH BRADLEY
Location Address4301 W MARKHAM STLittle Rock, AR 72205-7101
Mailing Address241 Skyline DrNorth Little Rock, AR 72116-9223
Sole ProprietorNo
Enumeration DateJuly 18, 2025
Last NPPES UpdateJune 9, 2026
NPPES CertifiedJune 9, 2026
NPI 1477445856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
4301 W MARKHAM ST, Little Rock, AR 72205

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Savannah Busch Bradley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

Dietitian, Registered
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST, SLOT # 500
LITTLE ROCK, AR 72205
Emergency Medicine
4301 W MARKHAM ST, SLOT 783
LITTLE ROCK, AR 72205
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4301 W MARKHAM ST, # 783
LITTLE ROCK, AR 72205
Psychiatry & Neurology (Neuromuscular Medicine)
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Obstetrics & Gynecology
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST
LITTLE ROCK, AR 72205

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 Savannah Bradley's NPI number?

The NPI number for Savannah Bradley is 1477445856. It was assigned to this individual provider in the NPPES registry on July 18, 2025.

Where is Savannah Bradley located?

Savannah Bradley practices at 4301 W Markham St, Little Rock, AR 72205. The listed phone number is (501) 296-1100.

What is Savannah Bradley's specialty?

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

Is Savannah Bradley enrolled in Medicare?

Yes. Savannah Bradley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Savannah Bradley was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.