Individual provider Active NPI

Letitia L Bradford, M.D.

  • Orthopaedic Surgery Physician
  • Gallup, NM
National Provider Identifier
1194740217
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD2020-0288 Issued in NM
Practice address
1901 Red Rock Dr
Gallup, NM 87301-5683
Phone
(505) 863-7309
NPI assigned
Jul 12, 2006
Last updated
Feb 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A70194 CA
Orthopaedic Surgery Physician 207X00000X LT-2827 NH
Orthopaedic Surgery Physician 207X00000X 14581 NH
Orthopaedic Surgery Physician 207X00000X MD2020-0288 NM Primary

Addresses

Primary practice location

1901 Red Rock Dr
Gallup, NM 87301-5683

Mailing address

1901 Red Rock Dr
Gallup, NM 87301-5683
Phone (505) 863-7309

Other practice location 1

300 Canal St
King City, CA 93930-3431
Phone (831) 385-5471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NH, TX, NM4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20050816000786 CA Practitioner - Orthopedic Surgery 4082644331 Reassigns benefits to 2 organizations
I20090919000058 NH Practitioner - Orthopedic Surgery 4082644331 Reassigns benefits to 1 organization
I20201207001421 TX Practitioner - Orthopedic Surgery 4082644331 Reassigns benefits to 1 organization
I20210127000108 NM Practitioner - Orthopedic Surgery 4082644331 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of California, San Francisco School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians
Rehoboth McKinley Christian Health Care Services, Inc.Group PAC ID 1759293855, shared by 3 NPIs, 31 clinicians
Hazel Hawkins Memorial HospitalGroup PAC ID 9133038326, shared by 8 NPIs, 52 clinicians

Practice addresses (Care Compare)

100 Mission Blvd
Jackson, CA 95642-2536

1900 Red Rock Dr
Gallup, NM 87301-5682
Phone (505) 863-7200

200 Mission Blvd
Jackson, CA 95642-2564
Phone (916) 733-3777

2800 L St
Sacramento, CA 95816-5616

2825 Capitol Ave
Sacramento, CA 95816-6039
Phone (916) 454-6600

815 Court St
Jackson, CA 95642-2154

911 Sunset Dr
Hollister, CA 95023-5606
Phone 83163726262601

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A70194CAMDOrthopaedic Surgery Physician
MD2020-0288NMMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Medical Center CurrentSince Oct 1, 2019 Accepting new patients
Hazel Hawkins Memorial Hospital CurrentSince Aug 4, 2025 Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Oct 14, 2020 Accepting new patients
Catholic Medical Center CurrentSince Oct 1, 2019 Accepting new patients
Hazel Hawkins Memorial Hospital CurrentSince Aug 4, 2025 Accepting new patients
Cytodiagnostics Current Accepting new patients
Sutter Valley Medical Foundation Orthopaedic Surgery Current Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc Orthopaedic Surgery CurrentSince Jan 1, 2021 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc CurrentSince Jan 1, 2021 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc. Current Accepting new patients
Sutter Valley Medical Foundation CurrentSince Nov 1, 2025 Accepting new patients
Sutter Valley Medical Foundation Orthopaedic Surgery CurrentSince Nov 1, 2025 Accepting new patients

Locations

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

911 Sunset Dr
Hollister, CA 95023
Phone (831) 626-2640

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

250 W Main St
Woodland, CA 95695
Phone (916) 668-6100

440 Plumas Blvd
Yuba City, CA 95991
Phone (530) 749-3301

470 Plumas Blvd
Ste 201
Yuba City, CA 95991
Phone (530) 749-3463

550 B St
Yuba City, CA 95991
Phone (530) 749-3650

195 McGregor St
Ste 310
Manchester, NH 03102

87 McGregor St
Ste 3100
Manchester, NH 03102
Phone (603) 627-1887

1900 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-1820

1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 726-6875

2111 College Dr
Gallup, NM 87301
Phone (505) 397-5172

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

Interoperability endpoints

  • Direct secure messaging: nwmlbradf@yourcarecommunity.org

Organizations & group practices 12

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1194740217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 RED ROCK DR",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015683",
            "telephone_number": "505-863-7309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 RED ROCK DR",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015683",
            "telephone_number": "505-863-7309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Canal St",
            "address_purpose": "LOCATION",
            "city": "King City",
            "state": "CA",
            "postal_code": "939303431",
            "country_code": "US",
            "telephone_number": "831-385-5471",
            "fax_number": "831-385-5940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "LETITIA",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A70194",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NH",
            "license": "LT-2827",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NH",
            "license": "14581",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NM",
            "license": "MD2020-0288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallup, NM

Sources for this page

Verify at the official NPI Registry.