MEDICARE: BRADLEY CHERY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407517162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRADLEY CHERY

Provider Business Mailing Address
First Line	:	55 HORIZON DR
Second Line	:
City	:	HUNTINGTON
State	:	NY
Zip	:	11743-4436
Country	:	US
Telephone Number	:	929-396-8418
Fax Number	:

Provider Business Practice Location Address
First Line	:	1839 TWAIN ST
Second Line	:
City	:	NORTH BALDWIN
State	:	NY
Zip	:	11510-2340
Country	:	US
Telephone Number	:	917-715-0463
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2022
Last Update Date	:	01/05/2022

Similar Medicare Providers

1912134776 — JEAN R CHERY
Practice Location Address:

1839 TWAIN ST
NORTH BALDWIN, NY
11510-2340

Practice Phone: 516-223-4832
Practice Fax:

1023554813 — CHRISTENE A. TUCKER LCSW
Practice Location Address:

1883 TWAIN ST
NORTH BALDWIN, NY
11510-2340

Practice Phone: 516-849-5644
Practice Fax:

1629186499 — ENTERPRISE MEDICAL, INC
Practice Location Address:

1115 NORTH H. C. MATHIS DRIVE
PADUCAH, KY
42001-2340

Practice Phone: 270-443-9494
Practice Fax: 270-442-7812

1295914067 — OTTONELLO RHEUMATOLOGY LLC
Practice Location Address:

500 NAYSMITH ROAD
NORTH VERSAILLES, PA
15137-2340

Practice Phone: 412-673-8110
Practice Fax: 412-673-6223

1043475312 — SOUTHEASTERN INDIANA DIALYSIS LLC
Practice Location Address:

2340 NORTH STATE HIGHWAY 7
NORTH VERNON, IN
47265-7183

Practice Phone: 812-352-8150
Practice Fax: 812-352-8204

1639492200 — TOTAL RENAL CARE INC
Practice Location Address:

2340 N STATE HIGHWAY 7
NORTH VERNON, IN
47265-7183

Practice Phone: 812-352-8150
Practice Fax: 812-352-8204

Directions to “ BRADLEY CHERY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.