Individual provider Active NPI

Bradley W Hilliard-Lythgoe, ARNP-BC

  • Nurse Practitioner
  • Merritt Island, FL
National Provider Identifier
1376984682
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11039752 Issued in FL
Practice address
390 N Courtenay Pkwy
Merritt Island, FL 32953-3456
Phone
(321) 633-3162
NPI assigned
Jul 15, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60643437 WA
Family Nurse Practitioner 363LF0000X AP131265 TX
Nurse Practitioner 363L00000X APRN11039752 FL Primary

Addresses

Primary practice location

390 N Courtenay Pkwy
Merritt Island, FL 32953-3456

Mailing address

390 N Courtenay Pkwy
Merritt Island, FL 32953-3456
Phone (321) 633-3162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130808000596 FL Practitioner - Nurse Practitioner 0941247332 Reassigns benefits to 1 organization
I20160426001220 WA Practitioner - Nurse Practitioner 0941247332 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medfast Urgent Care Centers LLCGroup PAC ID 1052418837, 73 clinicians

Practice addresses (Care Compare)

2500 Minton Rd
West Melbourne, FL 32904-6602
Phone (321) 633-3278

275 W Cocoa Beach Aswy
Cocoa Beach, FL 32931-3529
Phone (321) 799-7777

275 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3529
Phone (321) 799-7777

390 N Courtenay Pkwy
Merritt Island, FL 32953-3456
Phone (321) 633-3162

5005 Port St John Pkwy
Port St John, FL 32927-4305
Phone (321) 757-7222

7025 N Hwy 1
Cocoa, FL 32927-5092
Phone (321) 633-3278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11039752FLMDNurse Practitioner
AP131265TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ondemand Mobile Med LLC Family Current Accepting new patients
South Sound Inpatient Physicians PLLC Nurse Practitioner Current Accepting new patients
South Sound Inpatient Physicians PLLC CurrentSince Apr 29, 2016 Accepting new patients
South Sound Inpatient Physicians, PLLC CurrentSince Apr 29, 2016 Accepting new patients
RCCH Trios Health LLC CurrentSince Feb 24, 2020 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients

Locations

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

7201 W Grandridge Blvd
Ste 100
Kennewick, WA 99336
Phone (509) 221-6900

216 W 10th Ave
Ste 204
Kennewick, WA 99336
Phone (509) 221-5520

7201 W Grandridge Blvd
Kennewick, WA 99336
Phone (509) 221-5520

800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800

Networks

  • Freedom Health HMO Network

Organizations & group practices 7

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": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1376984682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 N COURTENAY PKWY",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533456",
            "telephone_number": "321-633-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 N COURTENAY PKWY",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533456",
            "telephone_number": "321-633-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLIARD-LYTHGOE",
        "first_name": "BRADLEY",
        "middle_name": "W",
        "credential": "ARNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-15",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60643437",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131265",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11039752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

Verify at the official NPI Registry.