Individual provider Active NPI

Bradley David Winter, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Boston, MA
National Provider Identifier
1063013290
Registry record updated Jul 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704317614 Issued in MI
Practice address
318 W 2ND St
Boston, MA 02127-1313
Phone
(617) 299-0429
NPI assigned
Nov 4, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704317614 MI Primary

Addresses

Primary practice location

318 W 2ND St
Boston, MA 02127-1313

Mailing address

318 W 2ND St
Boston, MA 02127-1313
Phone (617) 299-0429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20210415002941 MI Practitioner - Nurse Practitioner 2163830985 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mycare Health Center CurrentSince Nov 1, 2022 Accepting new patients
Acpc PLLC CurrentSince May 14, 2023 Accepting new patients
Mycare Health Center CurrentSince Nov 1, 2022 Accepting new patients
Mycare Health Center Past Accepting new patients

Locations

142 E Maumee St
Ste 3
Adrian, MI 49221
Phone (517) 263-5810

6800 E 10 Mile Rd
Center Line, MI 48015

6900 E 10 Mile Rd
Center Line, MI 48015
Phone (586) 501-3070

6780 E 10 Mile Rd
Center Line, MI 48015
Phone (586) 619-9986

43740 N Groesbeck Hwy
Clinton Twp, MI 48036
Phone (586) 469-7229

18 Market St
Ste C
Mount Clemens, MI 48043
Phone (586) 783-2222

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10018231
  • Direct secure messaging: adriancounselingandpsychiatricclinic.bradleywinter@153442.advancedmd-direct.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751587200000",
    "number": "1063013290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 W 2ND ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021271313",
            "telephone_number": "617-299-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 W 2ND ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021271313",
            "telephone_number": "617-299-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTER",
        "first_name": "BRADLEY",
        "middle_name": "DAVID",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-04",
        "last_updated": "2025-07-04",
        "certification_date": "2025-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704317614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.