MICHELLE RENEE BRADLEY — NPI 1093198103 (Licensed & Credentialed Clinical Exercise Physiologist in CAPITOLA, CA)

CMS-1500 Box 24J / 33a • NPI

1093198103

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

224Y00000X

Licensed & Credentialed Clinical Exercise Physiologist

Box 32 Service Location & ZIP+4

815 BAY AVE, CAPITOLA, CA, 95010-2186

✓ 9-Digit EDI 837 ZIP+4 (95010-2186)

Practice Phone & Referral Fax

(831) 460-7393

Fax: (831) 458-6999

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1093198103 (MICHELLE RENEE BRADLEY) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1093198103` (NPI-1 Individual Practitioner)
Provider / Legal Name	MICHELLE RENEE BRADLEY
Plain-English Specialty	Licensed & Credentialed Clinical Exercise Physiologist NUCC Code: `224Y00000X` (Clinical Exercise Physiologist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	815 BAY AVE, CAPITOLA, CA, 95010-2186
Practice Telephone / Fax	Tel: (831) 460-7393 \| Fax: (831) 458-6999
Administrative Mailing Address	815 BAY AVE, CAPITOLA, CA, 95010-2186
Enumeration & Last Sync	Enumerated: 2015-07-07 \| CMS Record Updated: 2015-07-07

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

815 BAY AVE, CAPITOLA, CA, 95010-2186

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Plain-English Taxonomy & CMS Crosswalk (224Y00000X)

What Does Taxonomy Code 224Y00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 224Y00000X translates to:
"Licensed & Credentialed Clinical Exercise Physiologist"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Clinical Exercise Physiologist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MICHELLE RENEE BRADLEY)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`224Y00000X` — Clinical Exercise Physiologist Plain English: Licensed & Credentialed Clinical Exercise Physiologist	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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MICHELLE RENEE BRADLEY (NPI #1093198103)