Individual
MARLY BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
720 ESKENAZI AVE FL 2, INDIANAPOLIS, IN 46202-5189
(317) 880-7000
Mailing address
PO BOX 637764, CINCINNATI, OH 45263-7764
(317) 880-3939
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01052950A
IN
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
01052950
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200281390
—
IN
Enumeration date
07/24/2006
Last updated
09/11/2025
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