Todd H Bradford DO PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS8366 Issued in FL

Legal business name

TODD H BRADFORD DO PA

Practice address

1210 S Old Dixie Hwy
Jupiter, FL 33458-7205

Phone

(561) 747-2234

NPI assigned

Feb 22, 2017

Last updated

Feb 22, 2017By 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. Todd Bradford, DONPI 1245267442

Title

Omner

Phone

(561) 748-2889

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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.

• Todd Harold Bradford, D.O.

  • Family Medicine Physician
  • Jupiter, FL
  • NPI 1245267442
  Medicare reassignment NPD Authorized official
• Chris Hamper, PA

  • Physician Assistant
  • Boca Raton, FL
  • NPI 1386688950
  NPD (past)

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1326587411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11231 US HIGHWAY 1 # 143",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334083216",
            "telephone_number": "561-748-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 S OLD DIXIE HWY",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587205",
            "telephone_number": "561-747-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD H BRADFORD DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "OMNER",
        "authorized_official_telephone_number": "561-748-2889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS8366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Milton Tiegen, A.P., D.M.D.
• Vivian Ellen Tiegen, RDN.,L.D.N., C.D.E.
• Tiny Shooting Stars Inc.
• Toby and Christine Honsberger, LLC.
• Todays Promise, Inc
• Alec Michael Toft
• Noel Tola
• Edit Tolnai, M.D.
• Rapheal Christian Tomei, CRNA MSN
• Maryelizabeth Bernice Tomer, AP

• Family Medicine Physician in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.