MARY BRADLEY – NPI #1245204072
Pediatrics

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

MARY BRADLEY is a physician located in NEW YORK, NY. NPPES has assigned the NPI number 1245204072 to MARY BRADLEY on February 16, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2080P0207X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Hematology-Oncology

The NPI profile was last updated on Sep 11, 2025. 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 MARY BRADLEY below.

NPI Profile for
MARY BRADLEY

NPI Number
1245204072
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MARY BRADLEY
Primary location
COLUMBIA UNIVERSITY DEPARTMENT PEDIATRICS
3959 BROADWAY
NEW YORK, NY 10032
Phone: (212) 304-7297 Fax: (212) 544-1974
Mailing address
220 RIVERSIDE BLVD
NEW YORK, NY 10069-1001
Phone: (212) 873-7146 Fax:
Updated
Identifiers

Identifiers for MARY 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
medicaidNY01788912
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
2080P0207X
- Pediatrics / Pediatric Hematology-Oncology (Primary)
NY 193401
208000000X
- Pediatrics
NY 193401

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.