Shannen Rae Bradley, CNM is a
Advanced Practice Midwife based in Simi Valley, California. Shannen Rae Bradley is licensed to practice in California (license number 236635) and her current practice location is
3124 China Fir Pl, Simi Valley, California. She can be reached at her office (for appointments etc.) via phone at
(818) 723-1579.
NPI number for Shannen Rae Bradley is 1003746009 and her current mailing address is 3124 China Fir Pl, Simi Valley, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003746009.
Provider's Profile
| Full Name | Shannen Rae Bradley |
|---|
| Gender | Female |
|---|
| Speciality | Advanced Practice Midwife |
|---|
| Location | 3124 China Fir Pl, Simi Valley, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003746009
- Provider Enumeration Date: 05/21/2026
- Last Update Date: 05/21/2026
Medical Identifiers
Medical identifiers for Shannen Rae Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1003746009 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367A00000X | Advanced Practice Midwife | 236635 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannen Rae Bradley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Shannen Rae Bradley, CNM 3124 China Fir Pl, Simi Valley, CA 93065-7238 Ph: (818) 723-1579 | Shannen Rae Bradley, CNM 3124 China Fir Pl, Simi Valley, CA 93065-7238 Ph: (818) 723-1579 |
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