KATHERINE BRADLEY (ATC) – Athletic Trainer, NPI 1073104881

KATHERINE BRADLEY (ATC) is a healthcare provider. based in O fallon, Illinois. specializing in Athletic Trainer. They hold the professional credentials ATC. They hold a License No. 096004885 (IL). The NPI Number for KATHERINE BRADLEY (ATC) is 1073104881

Main info

Female
Name
KATHERINE BRADLEY (ATC)
NPI
1073104881
Phone
(618) 624-2400
Address
772 WALL ST STE B
Enumeration Date
3 February 2021
Last Update Date
3 February 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

Provider Addresses for KATHERINE BRADLEY (ATC)

  • 772 WALL ST STE B

    O FALLON, IL 622691959

    Phone: (618) 624-2400

    Fax: (618) 624-2407

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62269)

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Frequently asked questions

What is the standard ID for KATHERINE BRADLEY (ATC) in the U.S.?
In the U.S., KATHERINE BRADLEY (ATC) is identified by NPI 1073104881.
Does the public listing show KATHERINE BRADLEY (ATC) as active?
KATHERINE BRADLEY (ATC)'s NPI record reflects an active status in NPPES.
How should patients interpret KATHERINE BRADLEY (ATC)'s specialty?
The extract shows Athletic Trainer for KATHERINE BRADLEY (ATC). Clinical services aligned with this taxonomy classification.
Can patients visit KATHERINE BRADLEY (ATC) in O Fallon, Illinois?
For routing, start with O Fallon, Illinois for KATHERINE BRADLEY (ATC), then verify phone and hours locally.
Who maintains KATHERINE BRADLEY (ATC)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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