Active NPI
Amber J Bradford, DO
- Emergency Medicine Physician
- Dennison, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 34-008614
- Practice address
- 819 N 1St St
Dennison, OH 44621-1003 - Phone
- (740) 922-2800
- NPI assigned
- Aug 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 34-008614 | OH | Primary |
Addresses
Primary practice location
819 N 1St St
Dennison, OH 44621-1003
Mailing address
138 Overwood Rd
Akron, OH 44313-3967
Phone (330) 836-8353
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2617314 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051213000172 | OH | Practitioner - Emergency Medicine | 3870514375 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cleveland Clinic
Practice addresses (Care Compare)
1 Akron General Ave
Akron, OH 44307-2432
Phone (330) 344-8990
Hospital & facility affiliations
- Akron General Medical Center
- Lodi Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34-008614 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Cleveland Clinic Foundation | Current | Accepting new patients | |
| Emergency Medicine Physicians of Stark County, LTD | Emergency Medicine | Past | Accepting new patients |
Locations
224 W Exchange St
Ste 225
Akron, OH 44302
Phone (330) 344-7400
224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505
1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
Organizations & group practices 15
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.
-
- Eyewear Supplier
- Avon Lake, OH
- NPI 1104334226
-
- Eyewear Supplier
- North Ridgeville, OH
- NPI 1245748300
-
- Durable Medical Equipment & Medical Supplies
- Oberlin, OH
- NPI 1265537179
-
- Clinic Pharmacy
- Strongsville, OH
- NPI 1295717593
-
- Eyewear Supplier
- Akron, OH
- NPI 1326175183
-
- Clinic Pharmacy
- Willoughby Hills, OH
- NPI 1346348091
-
- Durable Medical Equipment & Medical Supplies
- Cleveland, OH
- NPI 1497882690
-
- Clinic Pharmacy
- Sandusky, OH
- NPI 1518170323
-
- Eyewear Supplier
- Independence, OH
- NPI 1619551025
-
- Optometrist
- Loudonville, OH
- NPI 1649441783
-
- Mail Order Pharmacy
- Beachwood, OH
- NPI 1649507815
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437265709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 OVERWOOD RD",
"city": "AKRON",
"state": "OH",
"postal_code": "443133967",
"telephone_number": "330-836-8353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 N 1ST ST",
"city": "DENNISON",
"state": "OH",
"postal_code": "446211003",
"telephone_number": "740-922-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADFORD",
"first_name": "AMBER",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "34-008614",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2617314",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dennison, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.