Individual provider Active NPI

Sydnie Klein Bradford, FNP

  • Family Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1245838499
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-164255 Issued in AL
Practice address
832 Princeton Ave SW
Birmingham, AL 35211-1320
Phone
(205) 397-8907
Fax
(205) 206-8395
NPI assigned
Oct 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-164255 AL Primary
Registered Nurse 163W00000X 1-164255 AL

Addresses

Primary practice location

832 Princeton Ave SW
Birmingham, AL 35211-1320

Mailing address

832 Princeton Ave SW
Birmingham, AL 35211-1320
Phone (205) 397-8907

Other practice location 1

1700 6th Ave S
Birmingham, AL 35233-1802
Phone (205) 934-4277

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230823003985 AL Practitioner - Nurse Practitioner 0244693257 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Contracting Services LLCGroup PAC ID 3971417825, 404 clinicians
Alteon Health Alabama, LLCGroup PAC ID 5698830552, 38 clinicians

Practice addresses (Care Compare)

3400 Hwy 78 E
Jasper, AL 35501-8956
Phone (205) 387-4000

701 Princeton Ave SW
Birmingham, AL 35211-1303
Phone (240) 686-2300

Hospital & facility affiliations

  • Princeton Baptist Medical Center Hospital, Birmingham, AL, CCN 010103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-164255ALMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Alteon Health Alabama, LLC CurrentSince Aug 1, 2023 Accepting new patients

Locations

1000 1st St N
Alabaster, AL 35007
Phone (205) 620-8100

701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860

3400 Highway 78 E
Jasper, AL 35501
Phone (205) 387-4000

604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1602288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1245838499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 PRINCETON AVE SW",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111320",
            "telephone_number": "205-397-8907",
            "fax_number": "205-206-8395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 PRINCETON AVE SW",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111320",
            "telephone_number": "205-397-8907",
            "fax_number": "205-206-8395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 6th Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331802",
            "country_code": "US",
            "telephone_number": "205-934-4277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "SYDNIE",
        "middle_name": "KLEIN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-10",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-164255",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-164255",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.