BRADLEY THOMPSON APRN-CNP NPI 1982230124

NPI Information

NPI: 1982230124
Provider Name: BRADLEY THOMPSON, APRN-CNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1802 S MATTIS AVE
CHAMPAIGN, IL
ZIP 61821
Phone: (217) 365-2855
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Bradley Thompson, APRN-CNP is a psychiatric/mental health nurse practitioner in Champaign, IL with 4 years of experience. Bradley Thompson, APRN-CNP NPI is 1982230124. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1802 S MATTIS AVE
CHAMPAIGN, IL
ZIP 61821-923
Phone: (217) 365-2855

The NPI 1982230124 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/19/2020 and was last updated on 1/29/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0807X	Registered Nurse	Psychiatric/Mental Health, Child & Adolescent	RN.458795	OHIO	No
2	163WP0808X	Registered Nurse	Psychiatric/Mental Health	041.494794	ILLINOIS	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	209.021514.041.49794	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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