James Allen Bradfield Sr.

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

021016 Issued in GA

Practice address

203 Commerce Ave Ste a
Lagrange, GA 30241-2358

Phone

(706) 883-6178

Fax

(706) 885-0487

NPI assigned

Feb 17, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kroger Co

  dba Kroger Drugstore #622

  • Community/Retail Pharmacy
  • Bethlehem, GA
  • NPI 1154294205
  NPD (past)
• The Kroger Co

  dba Kroger Pharmacy

  • Community/Retail Pharmacy
  • Lagrange, GA
  • NPI 1407880230
  NPD (past)

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1558994640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 COMMERCE AVE STE A",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302412355",
            "telephone_number": "706-883-6178",
            "fax_number": "706-885-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 COMMERCE AVE STE A",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302412358",
            "telephone_number": "706-883-6178",
            "fax_number": "706-885-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFIELD",
        "first_name": "JAMES",
        "middle_name": "ALLEN",
        "name_suffix": "Sr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "AL",
            "license": "14136",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "GA",
            "license": "021016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Lynn Bowne, LPC
• Brad Alan Bowyer, MD
• Tanya Boyd, NURSE PRACTITIONER
• Michael Lee Brackett, M.D.
• Susan L Braddy, CRNA
• Srinivas R Bramhadevi, MD
• Kathy Brawner, RN
• Deasia Alexus Bray
• Anna Jessie Brazell, MCD, CCC-SLP
• James A Brennan, M.D.

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.