Provider Demographics
NPI:1437588464
Name:BRADLEY, DAVID (CNS)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:BRADLEY
Suffix:
Gender:M
Credentials:CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4301 JONES BRIDGE ROAD
Mailing Address - Street 2:UNIFORMED SERVICES OF HEALTH SCIENCE
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-0000
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4301 JONES BRIDGE ROAD
Practice Address - Street 2:UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-4712
Practice Address - Country:US
Practice Address - Phone:301-295-9556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-12
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX696702390200000X
TXAP132505364SP2800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP2800XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPerioperative
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program