Bradley Mason Stafford, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

115860 Issued in WV

Practice address

306 Stanaford Rd
Beckley, WV 25801-3142

Phone

(304) 255-3000

NPI assigned

Jan 26, 2023

Sex

Male

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 WV

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prompt Care IncGroup PAC ID 2567693997, 8 clinicians

West Virginia Orthopedic Trauma IncGroup PAC ID 7911280870, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Raleigh General Hospital Hospital, Beckley, WV, CCN 510070
• Camc Plateau Medical Center, Inc Hospital, Oak Hill, WV, CCN 511317
• Beckley Arh Hospital Hospital, Beckley, WV, CCN 510062

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• West Virginia Orthopedic Trauma Inc

  • Orthopaedic Trauma Physician
  • Beckley, WV
  • NPI 1871040626
  Medicare reassignment Care Compare group NPD
• Beckley Emergency Physicians LLC

  • Emergency Medicine Physician
  • Beckley, WV
  • NPI 1376757674
  Medicare reassignment NPD
• Richbend Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Elkins, WV
  • NPI 1093438830
  Medicare reassignment NPD
• Prompt Care, Inc.

  • Basic Emergency Medical Technician
  • Glen Morgan, WV
  • NPI 1790115848
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Appalachian Regional Healthcare, Inc

  dba ARH Southern West Virginia Clinic

  • Family Medicine Physician
  • Beckley, WV
  • NPI 1477510162

  Hospital

  Care Compare affiliation
• Appalachian Regional Healthcare, Inc

  dba Beckley ARH Hospital

  • General Acute Care Hospital
  • Beckley, WV
  • NPI 1568461440
  Care Compare affiliation
• Camc Plateau Medical Center, Inc.

  • Critical Access Hospital
  • Oak Hill, WV
  • NPI 1285340877
  Care Compare affiliation
• Raleigh General Hospital LLC

  dba Raleigh General Hospital

  • General Acute Care Hospital
  • Beckley, WV
  • NPI 1629015698
  Care Compare affiliation

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1467168021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 FLORIDA AVE",
            "city": "CRAB ORCHARD",
            "state": "WV",
            "postal_code": "258279539",
            "telephone_number": "304-575-7821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 STANAFORD RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013142",
            "telephone_number": "304-255-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "BRADLEY",
        "middle_name": "MASON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "115860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Staci Dawn Spurlock, COTA/L
• Allison Brook St.Clair
• Sandra Jo Stack, APRN-FNP-BC
• Clint Jay Stacy, PRSS-SUD
• Samantha L Stacy
• Bryan S Stafford, PA C
• Carol June Stafford
• Edith Stafford
• Kaelah Stafford, RN
• Michele Staker, RN, BSN, NCSN

• Family Nurse Practitioner in Beckley, WV
• Providers in Beckley, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.

Verify at the official NPI Registry.