Kelley Renee Bradley, CPNP
Nurse Practitioner, Pediatrics in Morganton, NC. Individual provider (NPI-1).
NPI number1386714830
StatusActive
Last updated in NPPESDec 17, 2014
Details
- NPI
- 1386714830
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kelley Renee Bradley
- Credential
- CPNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 9, 2006
- Last updated
- Dec 17, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 300325 | NC | Yes |
Practice location
100 Medical Heights DrMorganton, NC 28655-5197
Phone 828-433-4484 · Fax 828-433-1661
Mailing address
100 Medical Heights DrMorganton, NC 28655-5197
Phone 828-433-4484 · Fax 828-433-1661
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Other Pediatric Nurse Practitioner providers in Morganton, NC
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