Individual provider Active NPI

Afton Bradley, FNP-BC

  • Family Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1437875267
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024185453 Issued in VA
Practice address
1122 N 25TH St
Richmond, VA 23223-5254
Phone
(804) 508-6045
Fax
(804) 355-5216
NPI assigned
Oct 13, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024185453 VA Primary

Addresses

Primary practice location

1122 N 25TH St
Richmond, VA 23223-5254

Mailing address

201 N Hamilton St
Richmond, VA 23221-2601

Other practice location 1

201 N Hamilton St
Richmond, VA 23221-2601
Phone (804) 355-4358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20230418001816 VA Practitioner - Nurse Practitioner 3678948981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1122 N 25TH St
Richmond, VA 23223-5254
Phone 80490569665254

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Virginia League for Planned Parenthood Family CurrentSince Dec 9, 2022 Accepting new patients

Locations

1122 N 25th St
Richmond, VA 23223
Phone (804) 508-6045

201 N Hamilton St
Richmond, VA 23221
Phone (804) 355-4358

Organizations & group practices 1

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": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1437875267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N HAMILTON ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232212601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 N 25TH ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232235254",
            "telephone_number": "804-508-6045",
            "fax_number": "804-355-5216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 N Hamilton St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232212601",
            "country_code": "US",
            "telephone_number": "804-355-4358",
            "fax_number": "804-355-5216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "AFTON",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024185453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.