Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Beth Bradenburg

Individual provider Family Nurse Practitioner · NPI 1952007460

Mary Beth Bradenburg is a Nurse Practitioner in Kennett Square, Pennsylvania. Qualified in 2022, 4 years ago. Practices with Jefferson University Physicians, a 1,554-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Delaware and Pennsylvania.

Years since qualifying
4
Licensed in
DE, PA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

870 E Baltimore Pike
Kennett Square, PA 19348-1842
Phone: (610) 444-9083
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1545 Pulaski Hwy, Bear, DE 19701-1303 — (866) 389-2727

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP026461 (PA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence LG-0012472 (DE)

Record details

NPI number1952007460
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 6, 2023
Last updated in NPPESOctober 17, 2023
Certification dateOctober 17, 2023
Mailing address870 E Baltimore Pike, Kennett Square, PA 19348-1842

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Jefferson University Physicians — 1554 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Kennett Square