Individual provider · Type 1 NPI

Daniel Cory Bradley, NP

Gerontology Nurse Practitioner · Bloomington, IN

NPI number 1124975354 Active

Practice location

2651 E Discovery Pkwy
Bloomington, IN 47408-9059

Fax (812) 339-8344

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X71017978A (IN)
Acute Care Nurse Practitioner 363LA2100X28207936A (IN)
Critical Care Medicine Nurse Practitioner 363LC0200X71017978A (IN)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1124975354

Daniel Cory Bradley, NP's National Provider Identifier is 1124975354, issued on Mar 16, 2026. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Bloomington, IN. The record was last updated on Jun 3, 2026.