Individual provider Active NPI

Pamela Denise Bradley, AGNP

  • Adult Health Nurse Practitioner
  • Winston Salem, NC
National Provider Identifier
1154846566
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5010113 Issued in NC
Practice address
1115 Silas Creek Pkwy
Winston Salem, NC 27127-5627
Phone
(336) 962-6090
NPI assigned
Aug 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 151422 NC
Adult Health Nurse Practitioner 363LA2200X 5010113 NC Primary

Addresses

Primary practice location

1115 Silas Creek Pkwy
Winston Salem, NC 27127-5627

Mailing address

102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Phone (888) 987-1151

Other practice location 1

2806 Randleman Rd Ste J
Greensboro, NC 27406-5266
Phone (336) 907-7201

Other practice location 2

2806 Randleman Rd Ste J
Greensboro, NC 27406-5266
Phone (336) 907-7201

Other identifiers 1

IdentifierTypeStateIssuer
151422OtherNCREGISTERED NURSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20180313002002 NC Practitioner - Nurse Practitioner 9335401298 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP CurrentSince Jul 2, 2024 Accepting new patients
Physiatry Consultants of NC PLLC CurrentSince Jul 1, 2023 Accepting new patients
Elohim Housecall Doctors CurrentSince Sep 21, 2024 Accepting new patients
Navi Care LLC CurrentSince Feb 23, 2025 Accepting new patients
Archwell Health Professional Services of North Carolina, P.C. CurrentSince Aug 1, 2025 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

1 Pond St
Arden, NC 28704
Phone 82877452220027

5740 N Graham St
Charlotte, NC 28269
Phone (704) 251-8340

3022 Eastway Dr
Ste 13
Charlotte, NC 28205
Phone (704) 251-8228

2806 Randleman Rd
Ste J
Greensboro, NC 27406
Phone (336) 255-1214

2500 Summit Ave
Greensboro, NC 27405
Phone (336) 621-2500

1320 N Hamilton St
Ste 105
High Point, NC 27262
Phone (336) 807-6469

707 N Elm St
High Point, NC 27262
Phone (336) 885-0141

1320 N Hamilton St
Ste 10
High Point, NC 27262
Phone (336) 905-7174

877 Hill Everhart Rd
Lexington, NC 27295
Phone (336) 248-6644

1115 Silas Creek Pkwy
Winston Salem, NC 27127
Phone (336) 725-8513

102 Woodmont Blvd
Ste 600
Nashville, TN 37205

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1154846566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250",
            "telephone_number": "888-987-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 SILAS CREEK PKWY",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271275627",
            "telephone_number": "336-962-6090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2806 Randleman Rd Ste J",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274065266",
            "country_code": "US",
            "telephone_number": "336-907-7201",
            "fax_number": "336-907-7208",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2806 Randleman Rd Ste J",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274065266",
            "country_code": "US",
            "telephone_number": "336-907-7201",
            "fax_number": "336-907-7208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "PAMELA",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "AGNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "151422",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5010113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "151422",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.