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BRADLEY WHITE
NPI 1902300130
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since March 21, 2018PECOS Enrolled
840 S WOOD ST STE 376-CSN, CHICAGO, IL 60612(312) 996-6765 Get Directions Write a Review

NPPES record last updated: March 21, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Bradley White NPPES

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

BRADLEY WHITE (NPI 1902300130) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902300130
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRADLEY WHITE
Location Address840 S WOOD ST STE 376-CSNChicago, IL 60612-4325
Mailing Address840 S Wood St Ste 376-csnChicago, IL 60612-4325 · (312) 996-6765
Phone(312) 996-6765
Sole ProprietorNo
Enumeration DateMarch 21, 2018
✔ NPI 1902300130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
840 S WOOD ST STE 376-CSN, Chicago, IL 60612
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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)

Bradley White 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.

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 Bradley White's NPI number?

The NPI number for Bradley White is 1902300130. It was assigned to this individual provider in the NPPES registry on March 21, 2018.

Where is Bradley White located?

Bradley White practices at 840 S Wood St Ste 376-Csn, Chicago, IL 60612. The listed phone number is (312) 996-6765.

What is Bradley White's specialty?

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

Is Bradley White enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Bradley White was last updated on March 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.