EDWARD M. BRADLEY M.D. – NPI #1497744171
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

EDWARD BRADLEY is a physician located in SPRINGFIELD, IL. NPPES has assigned the NPI number 1497744171 to EDWARD BRADLEY on October 17, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was previously updated about 12 years ago on Jul 31, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EDWARD BRADLEY below.

NPI Profile for
EDWARD M. BRADLEY

NPI Number
1497744171
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
EDWARD M. BRADLEY
Credentials
M.D.
Primary location
900 N. 1ST STREET
SPRINGFIELD, IL 62702-3749
Phone: (217) 528-7541 Fax: (217) 525-1007
Mailing address
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone: (217) 528-7541 Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for EDWARD BRADLEY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIL036063765
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207V00000X
- Obstetrics & Gynecology (Primary)
IL 036063765

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.