Organization Active NPI

Valentina Bradley MD, PA

  • Medical Specialty Clinic/Center
  • Fort Lauderdale, FL
National Provider Identifier
1053646174
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
ME 94814 Issued in FL
Legal business name
VALENTINA BRADLEY MD, PA
Practice address
6333 N Federal Hwy
Suite 110
Fort Lauderdale, FL 33308-1907
Phone
(954) 634-1595
Fax
(954) 634-1594
NPI assigned
Oct 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Authorized official

Name
Dr. Valentina R Bradley, MD
Title
MD
Phone
(954) 634-1595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X ME 94814 FL Primary

Addresses

Primary practice location

6333 N Federal Hwy
Suite 110
Fort Lauderdale, FL 33308-1907

Mailing address

6333 N Federal Hwy
Suite 110
Fort Lauderdale, FL 33308-1907
Phone (954) 634-1595

National Provider Directory

National Provider Directory

Locations

6333 N Federal Hwy
Ste 110
Ft Lauderdale, FL 33308
Phone (954) 634-1595

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1053646174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6333 N FEDERAL HWY",
            "address_2": "SUITE 110",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081907",
            "telephone_number": "954-634-1595",
            "fax_number": "954-634-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 N FEDERAL HWY",
            "address_2": "SUITE 110",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081907",
            "telephone_number": "954-634-1595",
            "fax_number": "954-634-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALENTINA BRADLEY MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "VALENTINA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "954-634-1595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME 94814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.