BRADLEY L WHITE MD
NPI 1902892755
Specialist in East Meadow, NY

Q: What is Bradley White's NPI number?

The NPI number for Bradley White is 1902892755. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Q: What is Bradley White's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Bradley White was last updated on April 24, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 26, 2005PECOS Enrolled

30 MERRICK AVE, SUITE 100, EAST MEADOW, NY 11554(516) 794-7010(516) 794-7074 Get Directions Write a Review

NPPES record last updated: April 24, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Bradley L White Md NPPES

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

BRADLEY L WHITE MD (NPI 1902892755) is an individual specialist in East Meadow, New York, licensed in New York (157127) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902892755

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameBRADLEY L WHITECredential: MD

Location Address30 MERRICK AVE, SUITE 100East Meadow, NY 11554-1580

Mailing Address30 Merrick Ave, Suite 100East Meadow, NY 11554-1580 · (516) 794-7010 · Fax (516) 794-7074

Phone(516) 794-7010

Fax(516) 794-7074

Sole ProprietorNo

Enumeration DateSeptember 26, 2005

Last NPPES UpdateApril 24, 2012

✔ NPI 1902892755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NY · 157127

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

30 MERRICK AVE, East Meadow, NY 11554

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Other Identifiers 2

Medicare ID-Type Unspecified10F86NY

Medicare UPINE04009NY

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 L White Md 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.

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