MARLY BRADLEY (NPI# 1437171600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437171600 |
| Entity Type | Individual |
| Full Name | MARLY BRADLEY |
| Other Name | MARLY PIERRE-JEROME |
| Credential | MD |
| Practice Address |
702 Barnhill Dr Indianapolis IN 46202-5128 |
| Mailing Address |
2449 Reliable Pkwy Chicago IL 60686-0001 |
| Practice Telephone | 3172743936 |
| Mailing Telephone | 3178706705 |
| Mailing Fax Number | 3178700499 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
01052950 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200281390 | 05 |
| Street Address |
702 BARNHILL DR |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-5128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518960004 | Jodi L Smith | Neurological Surgery | 702 Barnhill Dr, Suite 1134, Indianapolis, IN 46202-5128 | 2005-05-27 |
| 1932697976 | Allysa H Nagy | Student in an Organized Health Care Education/Training Program | 702 Barnhill Dr, Indianapolis, IN 46202-5128 | 2018-04-25 |
| 1710474770 | David Joseph Manring | Student in an Organized Health Care Education/Training Program | 702 Barnhill Dr, Indianapolis, IN 46202-5128 | 2018-04-16 |
| 1447747662 | Elizabeth Elsie Nagel | Student in an Organized Health Care Education/Training Program | 702 Barnhill Dr, Indianapolis, IN 46202-5128 | 2018-04-13 |
| 1952808156 | Victoria Byrd Sharaf | Student in an Organized Health Care Education/Training Program | 702 Barnhill Dr, Indianapolis, IN 46202 | 2018-04-12 |
| 1598262214 | Sasha Kapil | Student in an Organized Health Care Education/Training Program | 702 Barnhill Dr, Indianapolis, IN 46202-5128 | 2018-04-09 |
| 1386141000 | Nematullah Sharaf | Student in an Organized Health Care Education/Training Program | 702 Barnhill Dr, Indianapolis, IN 46202-5128 | 2018-04-09 |
| 1295232908 | Harrison Monaghan Luttrell | Student in an Organized Health Care Education/Training Program | 702 Barnhill Dr, Indianapolis, IN 46202-5128 | 2018-04-09 |
| 1366949299 | Christopher James Steele | Student in an Organized Health Care Education/Training Program | 702 Barnhill Dr, Indianapolis, IN 46202-5128 | 2018-04-08 |
| 1013413293 | Jeffrey Dylan Hall | Student in an Organized Health Care Education/Training Program | 702 Barnhill Dr, Indianapolis, IN 46202-5128 | 2018-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760846109 | Santhi Priya Reddi | Pediatrics | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2016-04-12 |
| 1427076603 | Jennifer Kersey | Pediatrics | 702 Barnhill Dr, Indianapolis, IN 46202-5128 | 2006-07-17 |
| 1558389734 | Susan Hoffert | Pediatrics | 702 Barnhill Dr, Indianapolis, IN 46202-5128 | 2006-07-17 |
| City | INDIANAPOLIS |
| Zip Code | 46202 |
Please comment or provide details below to improve the information on MARLY BRADLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.