Individual provider Active NPI

Terrence Bradford, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Palmdale, CA
National Provider Identifier
1326899121
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP95028877 Issued in CA
Practice address
37312 Liana LN
Palmdale, CA 93551-6239
Phone
(586) 244-3208
NPI assigned
Mar 29, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP95028877 CA Primary

Addresses

Primary practice location

37312 Liana LN
Palmdale, CA 93551-6239

Mailing address

37312 Liana LN
Palmdale, CA 93551-6239
Phone (586) 244-3208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20250326000352 MI Practitioner - Nurse Practitioner 6800319344 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Detroit Recovery ProjectGroup PAC ID 1850716226, 9 clinicians

Practice addresses (Care Compare)

1121 E McNichols Rd
Detroit, MI 48203-2857

1145 W Grand Blvd
Detroit, MI 48208-2336
Phone (313) 324-8900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95028877CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Detroit Recovery Project CurrentSince Dec 23, 2024 Accepting new patients
Bradford Restorative Behavioral Innovations Corp. CurrentSince Mar 31, 2024 Accepting new patients
Health Equity and Recovery Technologies LLC CurrentSince Dec 20, 2025 Accepting new patients
Detroit Recovery Project Past Accepting new patients
I Am-Wellness Group LLC PastSince Dec 20, 2025 Accepting new patients

Locations

1145 W Grand Blvd
Detroit, MI 48208
Phone (313) 324-8900

1121 E McNichols Rd
Detroit, MI 48203
Phone (313) 365-3100

51424 Van Dyke Ave
Ste 23
Shelby Township, MI 48316
Phone (586) 215-6534

Interoperability endpoints

  • Direct secure messaging: terrence.bradford.p1@direct.recovery4detroit.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1326899121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37312 LIANA LN",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935516239",
            "telephone_number": "586-244-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37312 LIANA LN",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935516239",
            "telephone_number": "586-244-3208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "TERRENCE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-29",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP95028877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.