Drew Porter Bradford

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

374U00000X Issued in OH

Practice address

25747 Butternut Ridge Rd
North Olmsted, OH 44070-4507

Phone

(440) 759-5228

NPI assigned

Jun 5, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1336308261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25747 BUTTERNUT RIDGE RD",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440704507",
            "telephone_number": "440-759-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25747 BUTTERNUT RIDGE RD",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440704507",
            "telephone_number": "440-759-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "DREW",
        "middle_name": "PORTER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "374U00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2402635",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Matthew Bobst, O.D.
• Miranda Boedeker
• Gregory X Boehm, MD
• Amanda Marie Bolgar, OTR/L
• Bracemed Inc.
• Lenore Natalia Braford
• Ernest B Brazina, O.D.
• Christine G Brewer, PHD
• Amy J Brinkman, MSW LSW
• Samantha J Brockmeyer, LISW

• Home Health Aide in North Olmsted, OH
• Providers in North Olmsted, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.