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Gwendolyn Bradley
NPI 1578005955 · Licensed Practical Nurse · O Fallon, IL
Gwendolyn Bradley is a Licensed Practical Nurse provider in O Fallon, IL (NPI 1578005955).
Provider details
- NPI number
- 1578005955
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 043049025 (IL)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
294 Kings Ridge Blvd
O Fallon, IL 62269-6330
Phone: (618) 975-3781
Street-level locationGet directions
Mailing address
1811 San Ricardo Dr
Saint Louis, MO 63138-1942
Registry dates
- Enumerated
- 2016-11-16
- Last updated
- 2016-11-16
Frequently asked questions
- What is Gwendolyn Bradley's NPI number?
- Gwendolyn Bradley's National Provider Identifier (NPI) is 1578005955, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gwendolyn Bradley's specialty?
- Gwendolyn Bradley is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Gwendolyn Bradley located?
- Gwendolyn Bradley's practice location on file with NPPES is 294 Kings Ridge Blvd, O Fallon, IL 62269-6330.
- What is Gwendolyn Bradley's phone number?
- The practice phone number listed in the NPPES registry for Gwendolyn Bradley is (618) 975-3781.
- Is Gwendolyn Bradley's NPI active?
- Yes — Gwendolyn Bradley's NPI (1578005955) is active in the NPPES registry as of the last update on 2016-11-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.