Bradford Family Medicine, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD-068703-L Issued in PA

Legal business name

BRADFORD FAMILY MEDICINE, INC.

Practice address

14 N 3Rd St
Bradford, PA 16701-3335

Phone

(814) 362-6962

Fax

(814) 362-4956

NPI assigned

Jun 12, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jill M. Owens, M.D.NPI 1104862440

Title

President and Ceo

Phone

(814) 362-6962

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jill M. Owens, M.D.

  • Family Medicine Physician
  • Bradford, PA
  • NPI 1104862440
  Medicare reassignment Care Compare group NPD Authorized official
• Alisa Fishkin

  • Family Medicine Physician
  • Bradford, PA
  • NPI 1205653276
  Medicare reassignment Care Compare group NPD
• Katherine Gleason, CNM

  • Advanced Practice Midwife
  • Bradford, PA
  • NPI 1316323512
  Medicare reassignment Care Compare group NPD
• Caitlin Stefania Szczupak, MD

  • Student in an Organized Health Care Education/Training Program
  • Altoona, PA
  • NPI 1396300026
  Medicare reassignment Care Compare group NPD
• Deanna Marie Getz, NP

  • Family Nurse Practitioner
  • Lewis Run, PA
  • NPI 1922850767
  Medicare reassignment NPD
• Kamrie Christine Costello, FNP-C

  • Otolaryngology Physician
  • Olean, NY
  • NPI 1407378383

  PA

  Medicare reassignment NPD
• Wendy Lynne Dennis, PA-C

  • Physician Assistant
  • Bradford, PA
  • NPI 1629200563
  Medicare reassignment
• Lexandria Pascarella, PA

  • Physician Assistant
  • Bradford, PA
  • NPI 1528541869
  Medicare reassignment
• Bailey Raine Peinkofer

  • Physician Assistant
  • Lima, NY
  • NPI 1154987550

  PA

  Medicare reassignment

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245272525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 N 3RD ST",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167013335",
            "telephone_number": "814-362-6962",
            "fax_number": "814-362-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 N 3RD ST",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167013335",
            "telephone_number": "814-362-6962",
            "fax_number": "814-362-4956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADFORD FAMILY MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "814-362-6962",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD-068703-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bradford Dental Center
• Bradford Ecumenical Home Inc
• Bradford Emergency Associates PC
• Bradford Oncology LLC
• Bradford Orthopaedic & Sports Medicine Group, PC
• Bradford PA Opco LLC
• Bradford Radiology PC
• Bradford Regional Medical Center (McKean County VNA & Hospice)

• Family Medicine Physician in Bradford, PA
• Providers in Bradford, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.