JOHN C. BRADLEY CRNA
NPI 1871660555
Nurse Anesthetist, Certified Registered in Wilmington, NC

Q: What is John Bradley's NPI number?

The NPI number for John Bradley is 1871660555. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Q: What is John Bradley's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for John Bradley was last updated on April 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 November 29, 2006

9104 MARKET ST, WILMINGTON, NC 28411(301) 694-3400(301) 694-3620 Get Directions Write a Review

NPPES record last updated: April 30, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About John C. Bradley Crna NPPES

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

JOHN C. BRADLEY CRNA (NPI 1871660555) is an individual nurse anesthetist, certified registered in Wilmington, North Carolina, licensed in Maryland (R118379) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1871660555

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameJOHN C. BRADLEYCredential: CRNA

Location Address9104 MARKET STWilmington, NC 28411-7994

Mailing AddressPo Box 18139Raleigh, NC 27619-8139 · (636) 549-2380 · Fax (314) 569-5974

Phone(301) 694-3400

Fax(301) 694-3620

Sole ProprietorNo

Enumeration DateNovember 29, 2006

Last NPPES UpdateApril 30, 2011

✔ NPI 1871660555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in MD · R118379

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

9104 MARKET ST, Wilmington, NC 28411

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Other Identifiers 8

OtherR118379MD · License

Medicare PIN138979Y2MMD

OtherS417 0030DC · Carefirst Bcbs

Medicare ID-Type UnspecifiedNNO4M380MD

OtherKBC1CHMD · Carefirst Bcbs

OtherP00728709MD · Medicare Railroad (grp Ptan Cj8689)

OtherP00745073MD · Medicare Railroad (grp Ptan Dd6120)

Medicaid403621200MD

Other Providers at the Same Location NPPES 5

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

JI YUN REBEKAH ROBINSON CRNA

Nurse Anesthetist, Certified Registered