NPI 1164358784 · live from the CMS NPI Registry
Gwyneth Wilson Bradley, MD
Anesthesiology in Charleston, SC. National Provider Identifier 1164358784, active.
NPI record
| NPI | 1164358784 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 179 Ashley Ave, Charleston, SC 29425 |
| Practice phone | 843-792-2185 |
| Mailing address | 169 Ashley Ave, Charleston, SC 29425 |
| Enumerated | June 22, 2026 |
| Last updated | June 22, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology primary | 207L00000X | 97343 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.