Wendy Bradford
Individual provider Active NPI Non-emergency Medical Transport (VAN) · Gulfport, MS
NPI 1235559592 · NPPES record last updated Apr 24, 2014
Key facts
- NPI
- 1235559592
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Non-emergency Medical Transport (VAN) 343900000X
- Practice address
- 19386 Northridge Dr
Gulfport, MS 39503-7600 - Phone
- (228) 324-4593
- NPI assigned
- Apr 24, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | MS | Yes |
Addresses
Primary practice location
19386 Northridge Dr
Gulfport, MS 39503-7600
Mailing address
19386 Northridge Dr
Gulfport, MS 39503-7600
Phone (228) 324-4593
Other providers in Gulfport, MS
- Bradley Boyd
- Jill Boyer
- Bozlee Physical Therapy LLC
- Elizabeth Z Bozlee
- Blakley J Brackett
- Shannon Deirdre Bradley
- Ashlie Bradshaw
- Cory Fury Brainard
- Branch Medical Clinic Gulfport
- David Ray Branch
All providers in Gulfport, MS · Non-emergency Medical Transport (VAN) in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.