1. Home
  2. Directory
  3. Connecticut
  4. Groton
  5. Military Health Care Provider
  6. NPI Profile

KEVIN BRADLEY
NPI 1922551266
Military Health Care Provider - Independent Duty Corpsman in Groton, CT

Active since August 03, 2016

NPPES record last updated: January 3, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kevin Bradley NPPES

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

KEVIN BRADLEY (NPI 1922551266) is an individual independent duty corpsman provider in Groton, Connecticut and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1922551266
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameKEVIN BRADLEY
Location Address1 WAHOO AVEGroton, CT 06349
Mailing Address1 Wahoo AveGroton, CT 06349 · (860) 694-4123
Phone(860) 694-4123
Sole ProprietorNo
Enumeration DateAugust 3, 2016
Last NPPES UpdateJanuary 3, 2017
✔ NPI 1922551266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
1 WAHOO AVE, Groton, CT 06349
Open in Google Maps ↗

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.

WILLIAM DON MURPHY III IDC
Military Health Care Provider (Independent Duty Corpsman)
1 WAHOO AVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 694-4123
SARAH ELISABETH HIRSCHKOWITZ
Registered Nurse (Case Management)
1 WAHOO AVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 694-4026
COREY ROBIN WILFON
Military Health Care Provider (Independent Duty Corpsman)
1 WAHOO AVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 694-4123
MATTHEW DAVID COOPER APRN
Nurse Practitioner (Family)
1 WAHOO AVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 694-4123
DR. MATTHEW BRADEN BURNS MILLER DDS
Dentist (Periodontics)
1 WAHOO AVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 694-3094
KORIN MESSINA RN
Registered Nurse (Case Management)
1 WAHOO AVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 694-2388
DR. JULIA JACOBS M.D.
Psychiatry & Neurology (Psychiatry)
1 WAHOO AVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 694-4496
DR. JIMMY NAZIH SULIMAN DDS
Dentist (General Practice)
1 WAHOO AVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 694-3738

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 Kevin Bradley's NPI number?

The NPI number for Kevin Bradley is 1922551266. It was assigned to this individual provider in the NPPES registry on August 3, 2016.

Where is Kevin Bradley located?

Kevin Bradley practices at 1 Wahoo Ave, Groton, CT 06349. The listed phone number is (860) 694-4123.

What is Kevin Bradley's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Kevin Bradley was last updated on January 3, 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.