Sarah Creed Bradley, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

19273 Issued in SC

Practice address

110 E Dekalb St Ste C
Camden, SC 29020-4432

Phone

(803) 713-0806

Fax

(803) 713-0769

NPI assigned

Jul 25, 2015

Last updated

Feb 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Community Medical Clinic of Kershaw County

  • Community Health Clinic/Center
  • Camden, SC
  • NPI 1972971117
  NPD (past)

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

{
    "created_epoch": "1437782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1386029882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E DEKALB ST STE C",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290204432",
            "telephone_number": "803-713-0806",
            "fax_number": "803-713-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E DEKALB ST STE C",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290204432",
            "telephone_number": "803-713-0806",
            "fax_number": "803-713-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "SARAH",
        "middle_name": "CREED",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-25",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "SC",
            "license": "19273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Blanding, RN
• Jacqueline Michelle Bobo, M.A., CCC-SLP
• Ann Johnson Boykin, PT, DPT
• Audrey Ellerbe Boykin
• Jenifer Boykin
• Elizabeth Noelle Bradshaw
• Geneva Bradshaw, LPCC
• Joyce J Branham
• Melinda Branham
• Thomas Gunnar Branham, DMD

• Acute Care Nurse Practitioner in Camden, SC
• Providers in Camden, SC by specialty
• Acute Care Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.