Individual provider Active NPI

Maria Bradford, ARNP-C

  • Primary Care Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1487078200
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
9310961 Issued in FL
Practice address
2955 SE 3Rd CT Ste B
Ocala, FL 34471-0441
Phone
(352) 509-9900
Fax
(844) 388-6186
NPI assigned
Feb 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 9310961 FL Primary

Addresses

Primary practice location

2955 SE 3Rd CT Ste B
Ocala, FL 34471-0441

Mailing address

PO Box 4590
Ocala, FL 34478-4590
Phone (352) 509-9900

Other practice location 1

2130 Vindale Rd
Tavares, FL 32778-5602
Phone (352) 508-9152

Other identifiers 1

IdentifierTypeStateIssuer
ARNP9310961OtherFLLICENSE

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
I20140430001134 FL Practitioner - Nurse Practitioner 0648403568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health Enterprises IncGroup PAC ID 9830082536, 5 clinicians

Practice addresses (Care Compare)

607 Hwy 466
Lady Lake, FL 32159-3792
Phone (352) 259-7994

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9310961FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Enterprises Inc CurrentSince Apr 25, 2022 Accepting new patients
Primary Options Inc PastSince Apr 25, 2022 Accepting new patients

Locations

607 Highway 466
Lady Lake, FL 32159
Phone (352) 259-7994

Organizations & group practices 2

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": "1392249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1487078200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4590",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344784590",
            "telephone_number": "352-509-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 SE 3RD CT STE B",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710441",
            "telephone_number": "352-509-9900",
            "fax_number": "844-388-6186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2130 Vindale Rd",
            "address_purpose": "LOCATION",
            "city": "Tavares",
            "state": "FL",
            "postal_code": "327785602",
            "country_code": "US",
            "telephone_number": "352-508-9152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "ARNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "9310961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ARNP9310961",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.