Suzanne Marie Bradford, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

16725 Issued in CA

Practice address

3201 1St Ave
San Diego, CA 92103-5605

Phone

(619) 240-1390

NPI assigned

Feb 8, 2019

Last updated

Jun 11, 2019By the provider in NPPES

Sex

Female

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

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.

• Healing Point San Diego

  • Point of Service
  • La Jolla, CA
  • NPI 1295108314
  Authorized official Same address or phone

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1346705811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 1ST AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035605",
            "telephone_number": "619-240-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 1ST AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035605",
            "telephone_number": "619-240-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "SUZANNE",
        "middle_name": "MARIE",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "16725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1295108314",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Braden Partners LP (Pacific Pulmonary Services)
• Charelle Braden, DMD
• Elizabeth Bradford, CNM
• John Philip Bradford, DDS
• Madison Bradford
• Bradley a. Eli Dental Corporation
• Bradley B Bailey MD and Roger B Schechter MD Inc (Restorative Wound Healing and Hyperbaric Medical Group)
• Bradley L. Spitz, M.D. Inc
• Bradley M. Peterson, M.D., Inc.
• Brianna Bradley

• Acupuncturist in San Diego, CA
• Providers in San Diego, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.