Individual provider Active NPI

Kimberly L. Bradley, APRN, FNP-BC

  • Family Nurse Practitioner
  • Spring, TX
National Provider Identifier
1265939185
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP135299 Issued in TX
Practice address
25110 Grogans Mill Rd
Spring, TX 77380-2248
Phone
(281) 363-2290
NPI assigned
Apr 8, 2018
Last updated
Oct 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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, MS4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20190612003241 OR Practitioner - Nurse Practitioner 2365775988 Reassigns benefits to 4 organizations
I20201008000697 CA Practitioner - Nurse Practitioner 2365775988 Reassigns benefits to 1 organization
I20240315003218 WA Practitioner - Nurse Practitioner 2365775988 Reassigns benefits to 1 organization
I20250211001367 MS Practitioner - Nurse Practitioner 2365775988 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
95010714CAMDCommunity Health Nurse Practitioner
201807766NPORMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Camarena Health CurrentSince Jun 19, 2020 Accepting new patients
Clinicops, LLC Family CurrentSince Nov 1, 2021 Accepting new patients
G&H Healthcare Inc Urgent Care CurrentSince Oct 1, 2023 Accepting new patients
Multnomah County CurrentSince Nov 29, 2022 Accepting new patients
Camarena Health CurrentSince Jun 19, 2020 Accepting new patients
Camarena Health Family Current Accepting new patients
Legacy Clinics LLC CurrentSince Mar 6, 2024 Accepting new patients
Multnomah County CurrentSince Nov 29, 2022 Accepting new patients
Clinicops LLC PastSince May 25, 2025 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

  • FHIR API: https://api.platform.athenahealth.com/22281/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.