Individual provider Active NPI

Brenda Radford, CNM

  • Midwife
  • Elmira, NY
National Provider Identifier
1205259157
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
F001593-1 Issued in NY
Practice address
600 Fitch St
Suite 206
Elmira, NY 14905-1634
Phone
(607) 732-1515
NPI assigned
Jan 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X F001593-1 NY Primary

Addresses

Primary practice location

600 Fitch St
Suite 206
Elmira, NY 14905-1634

Mailing address

600 Fitch St
Suite 206
Elmira, NY 14905-1634
Phone (607) 732-1515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150813009550 VA Practitioner - Certified Nurse Midwife (CNM) 0143535682 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
F001593-1NYMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Nov 1, 2021 Accepting new patients
Obhg Virginia, LLC CurrentSince Oct 22, 2020 Accepting new patients
Dominion Women'S Health, Inc. CurrentSince Feb 11, 2022 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Nov 1, 2021 Accepting new patients
Birth N' Beyond Midwife PastSince Oct 17, 2017 Accepting new patients

Locations

8239 Meadowbridge Rd
Ste A
Mechanicsvlle, VA 23116
Phone (804) 730-0800

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500

8580 Magellan Pkwy
Richmond, VA 23227
Phone (804) 627-5462

Interoperability endpoints

  • Direct secure messaging: brenda.radford.1@8042.direct.athenahealth.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1390953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1205259157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 FITCH ST",
            "address_2": "SUITE 206",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149051634",
            "telephone_number": "607-732-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 FITCH ST",
            "address_2": "SUITE 206",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149051634",
            "telephone_number": "607-732-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADFORD",
        "first_name": "BRENDA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "F001593-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

Verify at the official NPI Registry.