Constance M. Bradford, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Monticello, MS
NPI 1003960907 · NPPES record last updated Aug 17, 2026
Key facts
- NPI
- 1003960907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 878491 (MS)
- Practice address
- 149 Jefferson St. S
Ste C
Monticello, MS 39654 - Phone
- (601) 393-1953
- Fax
- (855) 801-5007
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Caring Hands Family Practice LLC
Practice addresses (Care Compare)
314 Main St
Suite B
Monticello, MS 39654-3702
Hospital & facility affiliations
- Centerwell Home Health
- St Luke Home Health Services
- Enhabit Home Health & Hospice
- Lawrence County Hospital Cah
- King'S Daughters Medical Center-Brookhaven
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150311001895 | MS | Practitioner - Nurse Practitioner | 6002132941 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 878491 | MS | MD | Family Nurse Practitioner |
| R878491 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Care Clinic, Inc | Current |
Accepting new patients | |
| Caring Hands Family Practice, LLC | Current |
Accepting new patients | |
| Family Health Care Clinic, Inc. | Current |
Accepting new patients | |
| Anazia Medical, Inc. | Current |
Accepting new patients | |
| Family Health Care Clinic, Inc. | Current | Accepting new patients |
Locations
290 Highway 51 N
Brookhaven, MS 39601
Phone (601) 823-1710
120 5th Ave
McComb, MS 39648
Phone (601) 249-0013
314 Main St
Ste B
Monticello, MS 39654
Phone (601) 393-1953
149 Jefferson St S
Ste C
Monticello, MS 39654
Phone (601) 393-1953
202 Jefferson St
Newhebron, MS 39140
Phone (601) 694-2116
4635 Highway 80 E
Pearl, MS 39208
Phone (601) 933-2500
Interoperability endpoints
- constance.bradford.1@19473.direct.athenahealth.com
- https://api.platform.athenahealth.com/19473/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/8246/brand/1/csg/1/fhir/r4
- constance.bradford.1@8246.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R878491 | MS | |
| Family Nurse Practitioner | 363LF0000X | 878491 | MS | Yes |
| Medical-Surgical Registered Nurse | 163WM0705X | R878491 | MS |
Addresses
Primary practice location
149 Jefferson St. S
Ste C
Monticello, MS 39654
Mailing address
149 Jefferson St. S
Ste C
Monticello, MS 39654
Phone (601) 393-1953
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01980539 | Medicaid | MS | |
| 0048543879 | Medicaid | MS |
Other providers in Monticello, MS
- Blake A. Ballard
- Bonita C. Musial
- Armanda L. Bourne
- Doretha Bournes
- Chris Gilbert Boyd
- Brenco
- Bridges Professional Counseling and Consulting LLC
- Kelly Mackenzie Brister
- Amy Eaton Broome
- Rebecca Hussey Burris
All providers in Monticello, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.