Kimberly E Bradley, APRN
Individual provider Active NPI Family Nurse Practitioner · Benton, KY
NPI 1104801166 · NPPES record last updated Sep 30, 2025
Key facts
- NPI
- 1104801166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3002422 (KY)
- Practice address
- 83 Wellness Way Ste 101&201
Benton, KY 42025-7156 - Phone
- (270) 527-0045
- Fax
- (270) 527-9615
- NPI assigned
- Dec 13, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1996
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Mercy Health-Lourdes Hospital LLC
Practice addresses (Care Compare)
83 Wellness Way
Benton, KY 42025-7156
Hospital & facility affiliations
- Marshall County Hospital Home Health
- Mercy Health - Lourdes Hospital
- Marshall County Hospital
- Baptist Health Paducah
- Murray-Calloway County Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- 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 |
|---|---|---|---|---|
| I20070212000375 | KY | Practitioner - Nurse Practitioner | 0143222760 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Ky Urgent Care LLC | Current |
Accepting new patients | |
| Mercy Health Physicians Kentucky LLC | Current |
Accepting new patients | |
| Mercy Health-Lourdes Hospital LLC | Current |
Accepting new patients | |
| Mercy Health-Lourdes Hospital LLC | Current | Accepting new patients | |
| Mercy Health-Lourdes Hospital LLC | Current |
Accepting new patients | |
| Mercy Health-Lourdes Hospital LLC | Past | Accepting new patients |
Locations
83 Wellness Way
Ste 101102
Benton, KY 42025
83 Wellness Way
Benton, KY 42025
Phone (270) 527-8601
83 Wellness Way
Ste 101201
Benton, KY 42025
Phone (270) 527-0045
83 Wellness Way
Ste 101
Benton, KY 42025
Phone (270) 527-0045
1532 Lone Oak Rd
Ste 245
Paducah, KY 42003
Phone (270) 538-5537
100 Clint Hill Blvd
Ste 100
Paducah, KY 42001
Phone (270) 441-4357
131 Hospital Dr
Salem, KY 42078
Phone (270) 988-2299
Interoperability endpoints
- kbradley111345@direct.bsmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3002422 | KY | Yes |
Addresses
Primary practice location
83 Wellness Way Ste 101&201
Benton, KY 42025-7156
Mailing address
83 Wellness Way Ste 101&201
Benton, KY 42025-7156
Other practice location 1
100 Clint Hill Blvd Ste 100
Paducah, KY 42001-6771
Phone (270) 441-4357
Other providers in Benton, KY
- Benton Health Care, LLC
- Benton Medical and Surgical Associates, PSC
- Bluegrass Pharma Solutions, LLC
- Todd Bohannon
- Carlie Bourland
- Jani L Brewer
- Brightview LLC
- Brown Physical Therapy Services
- Christina Michelle Brown
- Jennifer Brown
All providers in Benton, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2025. 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.