Healthcare Provider Details

I. General information

NPI: 1114649167
Provider Name (Legal Business Name): BRADLEY MICHAEL SCHMIDT APN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2022
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 JULIO DR
SHREWSBURY MA
01545-3053
US

IV. Provider business mailing address

PO BOX 415348
BOSTON MA
02241-5348
US

V. Phone/Fax

Practice location:
  • Phone: 508-845-1436
  • Fax: 508-842-3005
Mailing address:
  • Phone: 800-225-8885
  • Fax: 508-334-1977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN10043943
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: