Mashelle Bradford, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9701701 Issued in NC

Practice address

16526 NC Highway 87 W
Tar Heel, NC 28392-8608

Phone

(919) 753-4673

NPI assigned

Mar 20, 2006

Last updated

Jun 5, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Mashelle Evola Bradford Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mashelle.bradford.1@14940.direct.athenahealth.com

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.

• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1225097165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16526 NC HIGHWAY 87 W",
            "city": "TAR HEEL",
            "state": "NC",
            "postal_code": "283928608",
            "telephone_number": "919-210-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16526 NC HIGHWAY 87 W",
            "city": "TAR HEEL",
            "state": "NC",
            "postal_code": "283928608",
            "telephone_number": "919-753-4673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1925 Brawley Ave",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283148491",
            "country_code": "US",
            "telephone_number": "919-210-4365",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3331 Easy St",
            "address_purpose": "LOCATION",
            "city": "Dunn",
            "state": "NC",
            "postal_code": "283347988",
            "country_code": "US",
            "telephone_number": "910-753-4673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "MASHELLE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9701701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MASHELLE",
            "last_name": "BRADFORD",
            "middle_name": "EVOLA",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dawn Belle-Gaddy
• Bladen Lakes Community Health Center
• Allieyah Lanise Davis, CD
• Eastland Home, Inc
• Guardian Angels Family Care Home
• Catherine Marie Headley, MSPH, PA-C
• Dwight C Hedgepeth, M.D.

• Family Medicine Physician in Tar Heel, NC
• Providers in Tar Heel, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.