NPIMap

Individual provider Active NPI

Daniel John Bradford, M.D.

  • Family Medicine Physician
  • Reno, NV
National Provider Identifier
1528123254
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23000 Issued in NV
Practice address
650 Sierra Rose Dr Ste B
Reno, NV 89511-2081
Phone
(775) 443-1530
NPI assigned
Dec 22, 2006
Last updated
Apr 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 23000 NV Primary

Addresses

Primary practice location

650 Sierra Rose Dr Ste B
Reno, NV 89511-2081

Mailing address

650 Sierra Rose Dr Ste B
Reno, NV 89511-2081
Phone (775) 443-1530

Other identifiers 3

IdentifierTypeStateIssuer
53792001MedicaidHI
00A0241552OtherHIHMSA
BS374ZMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230111001401 NV Practitioner - Family Practice 4082675244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4095 N Carson St
Carson City, NV 89706-1936
Phone (775) 883-3953

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.15 of 100Reported as group
Quality
78.17
Promoting interoperability
100
Improvement activities
40
Cost
75.68

Merit-based Incentive Payment System (MIPS)

Final score
85.15 of 100Reported as group
Quality
79.09
Promoting interoperability
100
Improvement activities
40
Cost
71.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23000NVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Birch Medical and Skin Care PLLC Family Medicine CurrentSince May 30, 2025 Accepting new patients
Community Care Services LLC Family Medicine Current Accepting new patients
Waikoloa Medical Arts, Inc. Past Accepting new patients
Hawaii Family Medical Centers Family Medicine Past Accepting new patients

Locations

4095 N Carson St
Carson City, NV 89706
Phone (775) 883-3953

1343 Newlands Dr W
Fernley, NV 89408
Phone (775) 575-3600

1155 Mill St
#14
Reno, NV 89502

650 Sierra Rose Dr
Ste B
Reno, NV 89511
Phone (775) 322-3311

440 USA Pkwy
Ste 101
Sparks, NV 89437

Interoperability endpoints

  • Direct secure messaging: daniel.bradford.1@33365.direct.athenahealth.com

Organizations & group practices 4

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 6

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": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1528123254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 SIERRA ROSE DR STE B",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112081",
            "telephone_number": "775-443-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 SIERRA ROSE DR STE B",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112081",
            "telephone_number": "775-443-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "DANIEL",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "23000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53792001",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "00A0241552",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BS374Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.