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

Mrs. Shana Brooke Bradley, RN

Individual provider Registered Nurse · NPI 1548866114

Mrs. Shana Brooke Bradley, RN is a Certified Registered Nurse Anesthetist (CRNA) in Kennesaw, Georgia. Qualified in 2020, 6 years ago. Practices with Mak Anesthesia Holdings, LLC, a 368-clinician group. Licensed in Georgia.

Years since qualifying
6
Licensed in
GA
In the registry since
2020
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

1300 Ridenour Blvd NW Ste 300
Kennesaw, GA 30152-4402
Phone: (770) 702-1806
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN239256 (GA)
Registered Nurse Taxonomy 163W00000X · Licence RN239256 (GA)

Record details

NPI number1548866114
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedDecember 9, 2020
Last updated in NPPESJuly 25, 2024
Certification dateJuly 25, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mak Anesthesia Holdings, Llc — 368 clinicians
Accepts Medicare assignment Not indicated

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