Stephani Curtis Bradley, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP113690 Issued in TX

Practice address

120 Flag Lake Dr
Suite 2
Lake Jackson, TX 77566-6292

Phone

(979) 297-8800

Fax

(979) 297-0300

NPI assigned

Oct 2, 2006

Last updated

May 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stephen F Austin Community Health Center, Inc.Group PAC ID 6204977127, 95 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI St Luke's Health Brazosport Hospital, Lake Jackson, TX, CCN 450072

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Stephen F. Austin Community Health Center, Inc.

  dba Adoue Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Alvin, TX
  • NPI 1578730818
  Medicare reassignment Care Compare group NPD
• SCB Clinic, PLLC

  • Clinic/Center
  • Lake Jackson, TX
  • NPI 1558465286
  Authorized official Same address or phone
• Stephen F Austin Community Health Center,Inc

  dba Bacliff Community Health Network

  • Federally Qualified Health Center (FQHC)
  • Bacliff, TX
  • NPI 1962986562
  NPD
• Core Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Lake Jackson, TX
  • NPI 1457536609
  NPD (past)

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

• The Community Hospital of Brazosport

  dba Brazosport Memorial Hospital &Brazosport Regional Health System

  • General Acute Care Hospital
  • Lake Jackson, TX
  • NPI 1972581940
  Care Compare affiliation

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1275626913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 FLAG LAKE DR",
            "address_2": "SUITE 2",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775666292",
            "telephone_number": "979-297-8800",
            "fax_number": "979-297-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 FLAG LAKE DR",
            "address_2": "SUITE 2",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775666292",
            "telephone_number": "979-297-8800",
            "fax_number": "979-297-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 W Adoue St",
            "address_purpose": "LOCATION",
            "city": "Alvin",
            "state": "TX",
            "postal_code": "775112718",
            "country_code": "US",
            "telephone_number": "281-824-1480",
            "fax_number": "281-220-6407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "STEPHANI",
        "middle_name": "CURTIS",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP113690",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "521716",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bottenfield Pediatric Associates, PLLC
• Gerald W Bottenfield, M.D.
• Paul Frederick Boven, DDS
• Lucretia Sheree' Boyd, FNP
• Staci Schneider Braden, D.C.
• Brazoria County Dialysis LLP
• Brazoria County Work Activity Center
• Brazoria Kidney Center, Inc. (Brazoria Kidney Center)
• Brazoria Neurological Associates, P.a.
• Brazos Eye Care LLC

• Nurse Practitioner in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.

Verify at the official NPI Registry.