Bonnie Sue Bradley , LPN
Licensed Practical Nurse • Anna, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Bonnie Bradley has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Bonnie Bradley, LPN was a registered Licensed Practical Nurse practicing in Anna, IL. Throughout an active medical career spanning 15 years, Bonnie Bradley provided care at the practice location at 204 SOUTH STREET until profile deactivation on 2021-10-14.
Practice Location & Contact Primary Location
204 South Street
Anna, IL 629060548
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Anna, IL
Practicing in Anna, IL (906 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 164W00000X
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Social Worker - Clinical
Licensed Clinical Social Worker
Psychiatry & Neurology - Psychiatry
Doctor of Medicine (M.D.)
Psychologist - Clinical
Doctor of Philosophy (Ph.D.)
Social Worker - Clinical
Licensed Clinical Social Worker
Social Worker - Clinical
MSEDCRCLCPC
Psychiatry & Neurology - Psychiatry
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on October 14, 2021
NPI status registered as active in NPPES database
Registered at 204 SOUTH STREET, ANNA, IL 629060548 (Tel: 6188338551)
Registered at PO BOX 548, ANNA, IL 629060548 (Tel: 6188338551)
Recorded as BONNIE BRADLEY, LPN
Licensed Practical Nurse
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 548
Anna, IL 629060548
Phone: 6188338551
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