Letitia L Bradford, M.D.
Individual provider Active NPI Orthopaedic Surgery Physician · Gallup, NM
NPI 1194740217 · NPPES record last updated Feb 25, 2025
Key facts
- NPI
- 1194740217
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- MD2020-0288 (NM)
- Practice address
- 1901 Red Rock Dr
Gallup, NM 87301-5683 - Phone
- (505) 863-7309
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 40
Hospital & facility affiliations 5
Medicare Care Compare profile
- 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 Foundation
Rehoboth McKinley Christian Health Care Services, Inc.
Hazel Hawkins Memorial Hospital
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
- Hazel Hawkins Memorial Hospital
- Rehoboth McKinley Christian Health Care Services
- Sutter Medical Center, Sacramento
- Sutter Amador Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in CA, NH, TX, NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A70194 | CA | MD | Orthopaedic Surgery Physician |
| MD2020-0288 | NM | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cytodiagnostics | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Orthopaedic Surgery | Current |
Accepting new patients |
| Rehoboth McKinley Christian Health Care Services, Inc | Current |
Accepting new patients | |
| Hazel Hawkins Memorial Hospital | Current |
Accepting new patients | |
| Rehoboth McKinley Christian Health Care Services, Inc | Orthopaedic Surgery | Current |
Accepting new patients |
| Hazel Hawkins Memorial Hospital | Current |
Accepting new patients | |
| Sutter Valley Medical Foundation | Current |
Accepting new patients | |
| Sutter Valley Medical Foundation | Orthopaedic Surgery | Current | Accepting new patients |
| Rehoboth McKinley Christian Health Care Services, Inc. | Current | Accepting new patients | |
| Catholic Medical Center | Current |
Accepting new patients | |
| DHHS,PHS,Naihs, Gallup Indian Medical Center | Current |
Accepting new patients | |
| Catholic Medical Center | Current |
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
550 B St
Yuba City, CA 95991
Phone (530) 749-3650
440 Plumas Blvd
Yuba City, CA 95991
Phone (530) 749-3346
470 Plumas Blvd
Ste 201
Yuba City, CA 95991
Phone (530) 749-3463
87 McGregor St
Ste 3100
Manchester, NH 03102
Phone (603) 627-1887
195 McGregor St
Ste 310
Manchester, NH 03102
1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-7000
2111 College Dr
Gallup, NM 87301
Phone (505) 397-5172
516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326
1900 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-1820
Interoperability endpoints
- nwmlbradf@yourcarecommunity.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A701940 | Medicaid | CA | |
| 08754331 | Medicaid | NM | |
| 30208936 | Medicaid | NH |
Other providers in Gallup, NM
- Nicole Bowsley
- Christine Elizabeth Boyd
- Nikki Boyer
- Sheila Denise Bozarth
- Dennis Alan Bradberry
- Bradley Vergien DDS, LLC
- Anita Karen Bradley
- Barbara Jean Bradley
- Melba G Brafford
- Ashley Brain
All providers in Gallup, NM · Orthopaedic Surgery Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 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.