Individual
PAIGE K BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6002 E 38TH ST, INDIANAPOLIS, IN 46226-5614
(317) 880-6002
(317) 880-0417
Mailing address
550 UNIVERSITY BLVD STE 2440, INDIANAPOLIS, IN 46202-5149
(317) 948-5923
(317) 948-7454
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01094628A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104306194
ANTHEM PTAN
IN
05
—
300039159
—
IN
Enumeration date
04/03/2020
Last updated
07/25/2025
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