Bradford Family Healthcare PC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

00026295 Issued in AL

Legal business name

BRADFORD FAMILY HEALTHCARE PC

Practice address

508 Harley St
Suite D
Scottsboro, AL 35768-4294

Phone

(256) 259-6054

Fax

(256) 259-5206

NPI assigned

Oct 29, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Charles Raymond Bradford IV, M.D.

Title

President

Phone

(256) 647-3276

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Nicholas Blackwood, FNP-C

  • Family Nurse Practitioner
  • Scottsboro, AL
  • NPI 1124548011
  Medicare reassignment Care Compare group NPD
• Charles Raymond Bradford IV, M.D.

  • Family Medicine Physician
  • Scottsboro, AL
  • NPI 1427085133
  Medicare reassignment Care Compare group NPD
• Lindsey Dicus White, NP-C

  • Family Nurse Practitioner
  • Scottsboro, AL
  • NPI 1902205883
  Medicare reassignment Care Compare group NPD
• Charles Raymond Bradford III, M.D.

  • Family Medicine Physician
  • Scottsboro, AL
  • NPI 1700805082
  Medicare reassignment Care Compare group
• Brittany Barclay Lambert, CRNP

  • Family Nurse Practitioner
  • Scottsboro, AL
  • NPI 1861926842
  Medicare reassignment NPD

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1407284532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 HARLEY ST",
            "address_2": "SUITE D",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357684294",
            "telephone_number": "256-259-6054",
            "fax_number": "256-259-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 HARLEY ST",
            "address_2": "SUITE D",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357684294",
            "telephone_number": "256-259-6054",
            "fax_number": "256-259-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADFORD FAMILY HEALTHCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-647-3276",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "AL",
            "license": "00026295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edythe Bolden
• Morgan Leigh Bone, MS, RD, LD
• Kaitlin Bonner, SLP
• Sarah L Boxley, M.D.
• Ryan Wayne Brack, O.D.
• Barrett Bradford, D.M.D
• Charles Raymond Bradford IV, M.D.
• Charles Raymond Bradford III, M.D.
• Rose Marie Bright, MSW, LICSW, PIP
• Kristen Buchanan, PT, DPT

• Health Service Clinic/Center in Scottsboro, AL
• Providers in Scottsboro, AL by specialty
• Health Service Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.