NICHOLAS BRADLEE DPM
NPI 1972689586
Podiatrist in Warren, MI

Active since October 27, 2006
28565 RYAN ROAD, WARREN, MI 48092(586) 751-3533(586) 751-1817 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicholas Bradlee Dpm NPPES

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

NICHOLAS BRADLEE DPM (NPI 1972689586) is a healthcare organization registered as a podiatrist in Warren, Michigan and active in the NPI registry since October 2006. The organization lists Nicholas Bradlee, Owner, as its authorized official.

NPPES Registry Identity

NPI1972689586
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameNICHOLAS BRADLEE DPM
Location Address28565 RYAN ROADWarren, MI 48092
Mailing AddressPo Box 1227Warren, MI 48090-1227 · (586) 751-3533 · Fax (586) 751-1817
Fax(586) 751-1817
Organization SubpartNo
Authorized OfficialNicholas BradleeOwner · (586) 751-3533
Enumeration DateOctober 27, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1972689586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in MI · NB000558
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
28565 RYAN ROAD, Warren, MI 48092

Other Identifiers 2

Other5635277MI · Blue Cross Blue Shield
Other8505050MI · Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Nicholas Bradlee Dpm's NPI number?

The NPI number for Nicholas Bradlee Dpm is 1972689586. It was assigned to this organization in the NPPES registry on October 27, 2006.

Where is Nicholas Bradlee Dpm located?

Nicholas Bradlee Dpm is located at 28565 Ryan Road, Warren, MI 48092. The listed phone number is (586) 751-3533.

What is Nicholas Bradlee Dpm's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Nicholas Bradlee Dpm was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.