Individual provider Active NPI

Sammye L Bradley, CRNP

  • Nurse Practitioner
  • Gadsden, AL
National Provider Identifier
1134344187
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1051882 Issued in AL
Practice address
313 S 4TH St
Gadsden, AL 35901-5212
Phone
(256) 547-0288
Fax
(256) 547-0290
NPI assigned
Apr 16, 2007
Last updated
Apr 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1051882 AL Primary

Addresses

Primary practice location

313 S 4TH St
Gadsden, AL 35901-5212

Mailing address

313 S 4TH St
Gadsden, AL 35901-5212
Phone (256) 547-0288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20050707000775 AL Practitioner - Nurse Practitioner 9436195732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1051882ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Family First Health Clinic at the Rock CurrentSince May 23, 2012 Accepting new patients
Doctors Med Care of Gadsden, P.C. CurrentSince Apr 22, 2020 Accepting new patients
Southern Family Practice and Occupational Medicine, Inc. Past Accepting new patients
Northeast Alabama Audiology Clinic PastSince Dec 26, 2007 Accepting new patients

Locations

2108 Rainbow Dr
Gadsden, AL 35901
Phone (256) 547-0160

3206 W Meighan Blvd
Gadsden, AL 35904
Phone (256) 547-2153

1955 Sand Rock Ave
Sand Rock, AL 35983
Phone (256) 523-6288

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.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1134344187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 S 4TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015212",
            "telephone_number": "256-547-0288",
            "fax_number": "256-547-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 S 4TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015212",
            "telephone_number": "256-547-0288",
            "fax_number": "256-547-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "SAMMYE",
        "middle_name": "L",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1051882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.