Individual provider Active NPI

Constance M. Bradford, FNP-C

  • Family Nurse Practitioner
  • Monticello, MS
National Provider Identifier
1003960907
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
878491 Issued in 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
Last updated
Aug 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R878491 MS
Family Nurse Practitioner 363LF0000X 878491 MS Primary
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 2

IdentifierTypeStateIssuer
0048543879MedicaidMS
01980539MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150311001895 MS Practitioner - Nurse Practitioner 6002132941 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
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 LLCGroup PAC ID 8123360013, 3 clinicians

Practice addresses (Care Compare)

314 Main St
Suite B
Monticello, MS 39654-3702

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R878491MSMDMedical-Surgical Registered Nurse
878491MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Care Clinic, Inc. Current Accepting new patients
Anazia Medical, Inc. CurrentSince Jan 3, 2015 Accepting new patients
Family Health Care Clinic, Inc. CurrentSince Sep 26, 2016 Accepting new patients
Family Health Care Clinic, Inc CurrentSince Sep 26, 2016 Accepting new patients
Caring Hands Family Practice, LLC CurrentSince Oct 16, 2020 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

149 Jefferson St S
Ste C
Monticello, MS 39654
Phone (601) 393-1953

314 Main St
Ste B
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) 502-3009

Interoperability endpoints

  • Direct secure messaging: constance.bradford.1@19473.direct.athenahealth.com
  • Direct secure messaging: constance.bradford.1@8246.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19473/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/8246/brand/1/csg/1/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1003960907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 JEFFERSON ST. S",
            "address_2": "STE C",
            "city": "MONTICELLO",
            "state": "MS",
            "postal_code": "39654",
            "telephone_number": "601-393-1953",
            "fax_number": "855-801-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 JEFFERSON ST. S",
            "address_2": "STE C",
            "city": "MONTICELLO",
            "state": "MS",
            "postal_code": "39654",
            "telephone_number": "601-393-1953",
            "fax_number": "855-801-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "CONSTANCE",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R878491",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "878491",
            "primary": true
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "MS",
            "license": "R878491",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0048543879",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01980539",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, MS

Sources for this page

Verify at the official NPI Registry.