Individual provider Active NPI

Cynthia Theresa Bradford, APRN

  • Family Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1417599044
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11005128 Issued in FL
Practice address
8260 Gladiolus Dr
Fort Myers, FL 33908-4156
Phone
(239) 437-5755
Fax
(239) 437-5776
NPI assigned
Oct 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9342090 FL
Family Nurse Practitioner 363LF0000X APRN11005128 FL Primary

Addresses

Primary practice location

8260 Gladiolus Dr
Fort Myers, FL 33908-4156

Mailing address

PO Box 102222 Attention Credentialing Department
Atlanta, GA 30368-2222
Phone (239) 432-8500

Other practice location 1

1615 Pasadena Ave S Ste 400
South Pasadena, FL 33707-4567
Phone (727) 341-1316

Other practice location 2

1201 5th Ave N Ste 505
St Petersburg, FL 33705-1455
Phone (727) 821-0017

Other practice location 3

7848 Emerald Cir Apt 203
Naples, FL 34109-1796
Phone (305) 303-9951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20210126001991 FL Practitioner - Nurse Practitioner 4880008275 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Health Care of Pinellas, LLCGroup PAC ID 1658274675, 88 clinicians

Practice addresses (Care Compare)

1839 Central Ave
St Petersburg, FL 33713-9089
Phone (727) 322-1054

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9342090FLMDRegistered Nurse
APRN11005128FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Medical Services, Inc CurrentSince Oct 22, 2020 Accepting new patients
Professional Health Care of Pinellas LLC CurrentSince Sep 12, 2025 Accepting new patients
Professional Health Care of Pinellas Inc. CurrentSince Sep 12, 2025 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Apr 24, 2023 Accepting new patients
American Oncology Partners PA PastSince Mar 4, 2019 Accepting new patients

Locations

3840 Broadway
Fort Myers, FL 33901
Phone (239) 275-6400

8260 Gladiolus Dr
Fort Myers, FL 33908
Phone (239) 437-5755

2525 First St
Fort Myers, FL 33901
Phone (239) 332-3333

1154 Lee Blvd
Ste 3
Lehigh Acres, FL 33936
Phone (239) 230-2273

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

4420 Sun N Lake Blvd
Fl Cancer
Sebring, FL 33872
Phone (863) 385-1244

1615 Pasadena Ave S
Ste 400
South Pasadena, FL 33707
Phone (727) 341-1316

1201 5th Ave N
Ste 505
St Petersburg, FL 33705
Phone (727) 821-0017

725 6th Ave S
Ste 2200
St Petersburg, FL 33701
Phone (727) 821-0017

1839 Central Ave
St Petersburg, FL 33713
Phone (727) 322-1054

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIJHAA

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1417599044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222 ATTENTION CREDENTIALING DEPARTMENT",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-432-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8260 GLADIOLUS DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084156",
            "telephone_number": "239-437-5755",
            "fax_number": "239-437-5776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1615 Pasadena Ave S Ste 400",
            "address_purpose": "LOCATION",
            "city": "South Pasadena",
            "state": "FL",
            "postal_code": "337074567",
            "country_code": "US",
            "telephone_number": "727-341-1316",
            "fax_number": "727-345-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 5th Ave N Ste 505",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337051455",
            "country_code": "US",
            "telephone_number": "727-821-0017",
            "fax_number": "727-822-7473",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7848 Emerald Cir Apt 203",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341091796",
            "country_code": "US",
            "telephone_number": "305-303-9951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "CYNTHIA",
        "middle_name": "THERESA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-15",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9342090",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11005128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.