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Contact Information

DANIEL C BRADLEY
2651 E DISCOVERY PKWY
BLOOMINGTON, IN47408-9059
 Phone: 812-676-4144
 Fax: 812-339-8344
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for DANIEL C BRADLEY · (Male)

NPI Number 1124975354
Status Active
Credentials
Entity Individual
Enumeration date 03/16/2026
Last updated 03/16/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • IN License # 28207936A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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