Individual provider Active NPI

Kristen Bradley, APRN, AGACNP-BC,RNFA

  • Nurse Practitioner
  • Beaumont, TX
National Provider Identifier
1497239891
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1031536 Issued in TX
Practice address
3460 N. Dowlen Rd
Beaumont, TX 77706-7690
Phone
(409) 838-0346
Fax
(409) 839-3720
NPI assigned
Sep 20, 2018
Last updated
Aug 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1031536 TX Primary
Acute Care Nurse Practitioner 363LA2100X 1031536 TX
Adult Health Nurse Practitioner 363LA2200X 1031536 TX
Gerontology Nurse Practitioner 363LG0600X 1031536 TX
Registered Nurse First Assistant 163WR0006X 804593 TX

Addresses

Primary practice location

3460 N. Dowlen Rd
Beaumont, TX 77706-7690

Mailing address

3460 N. Dowlen Rd
Beaumont, TX 77706-7690
Phone (409) 838-0346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210507002131 TX Practitioner - Nurse Practitioner 9436498987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaumont Bone and Joint Institute PAGroup PAC ID 1951323385, 20 clinicians

Practice addresses (Care Compare)

3460 Dowlen Rd
Beaumont, TX 77706-7222
Phone (409) 838-0346

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.31 of 100Reported as group
Quality
74.88
Improvement activities
40
Cost
73.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
804593TXMDRegistered Nurse First Assistant
1031536TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Bone & Joint Institute, PA CurrentSince Mar 1, 2021 Accepting new patients

Locations

3460 Dowlen Rd
Beaumont, TX 77706
Phone (409) 838-0346

3650 Laurel St
Beaumont, TX 77707
Phone (409) 838-0346

2927 Park Plaza Ln
Port Arthur, TX 77642
Phone (409) 883-3744

Interoperability endpoints

  • Direct secure messaging: kristenbradley@bbj.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1537401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1497239891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 N. DOWLEN RD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777067690",
            "telephone_number": "409-838-0346",
            "fax_number": "409-839-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 N. DOWLEN RD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777067690",
            "telephone_number": "409-838-0346",
            "fax_number": "409-839-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "KRISTEN",
        "credential": "APRN, AGACNP-BC,RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-20",
        "last_updated": "2025-08-06",
        "certification_date": "2022-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1031536",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1031536",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1031536",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1031536",
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "TX",
            "license": "804593",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.