Active NPI
Kimberly L. Bradley, APRN, FNP-BC
- Family Nurse Practitioner
- Spring, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP135299
- Practice address
- 25110 Grogans Mill Rd
Spring, TX 77380-2248 - Phone
- (281) 363-2290
- NPI assigned
- Apr 8, 2018
- Last updated
- Oct 14, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | 201807766NP | OR | |
| Community Health Nurse Practitioner | 363LC1500X | 95010714 | CA | |
| Family Nurse Practitioner | 363LF0000X | AP135299 | TX | Primary |
| Family Nurse Practitioner | 363LF0000X | 201807766NP | OR | |
| Primary Care Nurse Practitioner | 363LP2300X | 201807766NP | OR | |
| Primary Care Nurse Practitioner | 363LP2300X | 95010714 | CA |
Addresses
Primary practice location
25110 Grogans Mill Rd
Spring, TX 77380-2248
Mailing address
1340 SW Bertha Blvd Ste 103
Portland, OR 97219-2096
Phone (888) 984-7277
Other practice location 1
1340 SW Bertha Blvd Ste 103
Portland, OR 97219-2096
Phone (888) 984-7277
Other practice location 2
9975 SW Frewing St
Tigard, OR 97223-5091
Phone (503) 894-9005
Other practice location 3
17022 SW Pacific Hwy Apt 210
Tigard, OR 97224-3400
Phone (833) 425-6678 ext. 3
Other practice location 4
17022 SW Pacific Hwy Apt 210
Tigard, OR 97224-3400
Phone (833) 425-6678 ext. 3
Other practice location 5
135 NE 102nd Ave
Portland, OR 97220-4167
Phone (503) 894-9005
Other practice location 6
5329 NE Martin Luther King Blvd
Portland, OR 97211-3237
Phone (503) 988-5183
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, CA, WA, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1340 SW Bertha Blvd
Portland, OR 97219-2096
Phone (888) 984-7277
1747 Grand Ave
Jackson, MS 39209-6422
Phone (888) 984-7277
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95010714 | CA | MD | Community Health Nurse Practitioner |
| 201807766NP | OR | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Camarena Health | Current | Accepting new patients | |
| Clinicops, LLC | Family | Current | Accepting new patients |
| G&H Healthcare Inc | Urgent Care | Current | Accepting new patients |
| Multnomah County | Current | Accepting new patients | |
| Camarena Health | Current | Accepting new patients | |
| Camarena Health | Family | Current | Accepting new patients |
| Legacy Clinics LLC | Current | Accepting new patients | |
| Multnomah County | Current | Accepting new patients | |
| Clinicops LLC | Past | Accepting new patients |
Locations
1159 Country Club Dr
Madera, CA 93638
344 E 6th St
Madera, CA 93638
Phone (559) 664-4158
49169 Road 426
Oakhurst, CA 93644
Phone (559) 642-6724
2870 SW Cedar Hills Blvd
Beaverton, OR 97005
Phone (503) 646-9222
2970 Highway 101
Florence, OR 97439
Phone (541) 902-0800
2850 SE Powell Valley Rd
Gresham, OR 97080
Phone (503) 666-5050
600 NE 8th St
Gresham, OR 97030
Phone (503) 988-4900
1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134
1340 SW Bertha Blvd
Ste 103
Portland, OR 97219
Phone (209) 515-3571
1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600
209 SW 4th Ave
Ste 210
Portland, OR 97204
Phone (503) 988-3674
5329 NE Mlk Jr Blvd
Portland, OR 97211
Phone (503) 988-3821
619 NW 6th Ave
Portland, OR 97209
Phone (503) 988-3674
619 NW 6th Ave
Fl 5
Portland, OR 97209
Phone (503) 988-5558
200 NE Mother Joseph Pl
Ste 410
Vancouver, WA 98664
Phone (503) 413-3580
305 SE Chkalov Dr
Ste 170
Vancouver, WA 98683
Phone (360) 799-3912
3425 SE 192nd Ave
Ste 106
Vancouver, WA 98683
Phone (360) 205-2960
Interoperability endpoints
- https://api.platform.athenahealth.com/22281/brand/1/csg/1/fhir/r4
- kimberly.bradley.1@22281.direct.athenahealth.com
Organizations & group practices 9
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.
-
dba Multnomah County Health Dept, North Portland
- Federally Qualified Health Center (FQHC)
- Portland, OR
- NPI 1609914787
-
dba Camarena Health - Los Banos
- Federally Qualified Health Center (FQHC)
- Los Banos, CA
- NPI 1114757754
-
- Federally Qualified Health Center (FQHC)
- Gresham, OR
- NPI 1912322074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791936000000",
"number": "1265939185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 SW BERTHA BLVD STE 103",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972192096",
"telephone_number": "888-984-7277",
"fax_number": "833-989-2307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25110 GROGANS MILL RD",
"city": "SPRING",
"state": "TX",
"postal_code": "773802248",
"telephone_number": "281-363-2290"
}
],
"practiceLocations": [
{
"address_1": "1340 SW Bertha Blvd Ste 103",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972192096",
"country_code": "US",
"telephone_number": "888-984-7277",
"fax_number": "833-989-2307",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9975 SW Frewing St",
"address_purpose": "LOCATION",
"city": "Tigard",
"state": "OR",
"postal_code": "972235091",
"country_code": "US",
"telephone_number": "503-894-9005",
"fax_number": "503-719-4178",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17022 SW Pacific Hwy Apt 210",
"address_purpose": "LOCATION",
"city": "Tigard",
"state": "OR",
"postal_code": "972243400",
"country_code": "US",
"telephone_number": "833-425-6678 x3",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17022 SW Pacific Hwy Apt 210",
"address_purpose": "LOCATION",
"city": "Tigard",
"state": "OR",
"postal_code": "972243400",
"country_code": "US",
"telephone_number": "833-425-6678 x3",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "135 NE 102nd Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972204167",
"country_code": "US",
"telephone_number": "503-894-9005",
"fax_number": "503-719-4178",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5329 NE Martin Luther King Blvd",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972113237",
"country_code": "US",
"telephone_number": "503-988-5183",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRADLEY",
"first_name": "KIMBERLY",
"middle_name": "L.",
"name_prefix": "Mrs.",
"credential": "APRN, FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-08",
"last_updated": "2026-10-14",
"certification_date": "2026-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "OR",
"license": "201807766NP",
"primary": false
},
{
"code": "363LC1500X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Community Health",
"state": "CA",
"license": "95010714",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP135299",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201807766NP",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "OR",
"license": "201807766NP",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "CA",
"license": "95010714",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.