Active NPIIndividual providerSole proprietor

Bradley Ellithorpe

Student in an Organized Health Care Education/Training Program in Fiskdale, Massachusetts

NPI Number1134030596
Practice location
9 Draper Woods RD, Fiskdale, MA 01518-1180
Fax
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Last updated
September 15, 2026

Bradley Ellithorpe is a Student in an Organized Health Care Education/Training Program based in Fiskdale, MA. Bradley Ellithorpe practices in Fiskdale, MA. The NPI Number for Bradley Ellithorpe is 1134030596. The current practice location address for Bradley Ellithorpe is 9 Draper Woods RD, Fiskdale, MA 01518-1180 and can be reached out via phone at 774-601-0382.

Provider Profile Details

NPI Number
1134030596
Provider Name
Bradley Ellithorpe
Provider Entity Type
Individual
Address
9 Draper Woods RD, Fiskdale, MA 01518-1180
Phone Number
774-601-0382
Sole Proprietor
Yes
Provider Enumeration Date
September 15, 2026
Last Update Date
September 15, 2026
Certification Date
September 15, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
9 Draper Woods RD
Fiskdale, MA 01518-1180
Zip
01518-1180
Phone Number
774-601-0382
Fiskdale, MA 01518Get directions →

Provider Business Mailing Address Details

Address
9 Draper Woods RD
Fiskdale, MA 01518-1180
City
Fiskdale
State
MA
Zip
01518-1180

License Information

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bradley Ellithorpe?

The NPI number of Bradley Ellithorpe is 1134030596. It was assigned on September 15, 2026 and is currently active in the NPPES registry.

What is the specialty of Bradley Ellithorpe?

Bradley Ellithorpe is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Bradley Ellithorpe practice?

The practice location is 9 Draper Woods RD, Fiskdale, MA 01518-1180. The office can be reached at 774-601-0382 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134030596 directly on the NPPES registry website.

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