James Clifton Bradley, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

LNO 3080 Issued in AL

Practice address

207 Blackburn Ave
Bay Minette, AL 36507-4843

Phone

(251) 937-5512

NPI assigned

May 21, 2008

Last updated

May 21, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25415/brand/1/csg/1/fhir/r4

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.

• Bay Minette Family Care LLC

  • Clinic/Center
  • Bay Minette, AL
  • NPI 1588338248
  NPD (past)

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1023275658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 BLACKBURN AVE",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365074843",
            "telephone_number": "251-937-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 BLACKBURN AVE",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365074843",
            "telephone_number": "251-937-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "JAMES",
        "middle_name": "CLIFTON",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "LNO 3080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittney Renee Bicksler, D.O.
• Bio-Medical Applications of Alabama, Inc. (Fresenius Medical Care Dialysis Services of Bay Minette)
• Ashley James Bloodsworth, MS, CCC-SLP
• Lolita Cecelia Boykin
• Susan Boyles, RPH
• Cheryl Annette Branscum, M.A., CCC-SLP
• Anice Noele Brenner, RN
• Kimberly Bright
• Hayley Jones Brooks
• Edwin D. Bryan, O.D.

• General Practice Dentistry in Bay Minette, AL
• Providers in Bay Minette, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.