Brendan Bradford, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

421 Fallsway
Baltimore, MD 21202

Phone

(443) 886-4304

NPI assigned

Jun 6, 2017

Sex

Male

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 MD

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

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health Care for the Homeless, IncGroup PAC ID 1456452382, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Medical Center Inc Hospital, Baltimore, MD, CCN 210008

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brendan.bradford.1@23840.direct.athenahealth.com

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.

• Health Care for the Homeless, Inc

  • Federally Qualified Health Center (FQHC)
  • Baltimore, MD
  • NPI 1003819665
  Medicare reassignment Care Compare group NPD (past)
• Health Care for the Homeless, Inc.

  • Federally Qualified Health Center (FQHC)
  • Baltimore, MD
  • NPI 1932570504
  NPD

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

• Mercy Medical Center Inc

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1144282583
  Care Compare affiliation

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1346779139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 FALLSWAY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212024800",
            "telephone_number": "410-837-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 FALLSWAY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21202",
            "telephone_number": "443-886-4304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1412 Fairmount Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191302908",
            "country_code": "US",
            "telephone_number": "215-235-9600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 Dekalb St",
            "address_purpose": "LOCATION",
            "city": "Norristown",
            "state": "PA",
            "postal_code": "194013405",
            "country_code": "US",
            "telephone_number": "610-278-7787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Chester Pike",
            "address_purpose": "LOCATION",
            "city": "Sharon Hill",
            "state": "PA",
            "postal_code": "190791400",
            "country_code": "US",
            "telephone_number": "610-537-1765",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 W Allegheny Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191333644",
            "country_code": "US",
            "telephone_number": "215-291-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 W Girard Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191224212",
            "country_code": "US",
            "telephone_number": "215-787-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 S 30th St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191043403",
            "country_code": "US",
            "telephone_number": "215-222-2466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "841 E Hunting Park Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191244800",
            "country_code": "US",
            "telephone_number": "215-537-7695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "BRENDAN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-06",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne M Bracklow, CRNP, DNAP
• John Richard Bradbury, D. D. S.
• Bianca M Braddy, ADT
• Aaliyah Bradford
• Alexandra Bradford, LCSW-C
• Briana Bradford, DNP, FNP-C
• Jeffrey Bradford, DNP-FNP
• Laura Latey Bradford, MD, PHD
• Spencer A Bradford, PA-S2
• Shiyanne Monique Bradley-Andrew

• Medical Physician Assistant in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Medical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.