Henry Lane Bradford, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

312 Issued in AL

Practice address

1020 Tuscaloosa Ave
Gadsden, AL 35901-3005

Phone

(256) 492-0131

NPI assigned

Aug 11, 2005

Last updated

Jan 10, 2020By the provider in NPPES

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

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Podiatric Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Quality of Life Health Services IncGroup PAC ID 7810890902, 39 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hbradford333172@direct.ochin.org

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.

• Quality of Life Health Services Inc

  dba Quality of Life Health Complex

  • Community Health Clinic/Center
  • Gadsden, AL
  • NPI 1447200977
  Medicare reassignment Care Compare group NPD
• Quality of Life Health Services, Inc

  dba Calhoun Quality Health Care

  • Federally Qualified Health Center (FQHC)
  • Anniston, AL
  • NPI 1013339209
  NPD
• Quality of Life Health Services, Inc

  dba Cleburne Quality Health Care

  • Federally Qualified Health Center (FQHC)
  • Heflin, AL
  • NPI 1467620989
  NPD
• Quality of Life Health Services, Inc

  dba Anniston Quality Health Care

  • Community Health Clinic/Center
  • Anniston, AL
  • NPI 1568412666
  NPD
• Quality of Life Health Services, Inc

  dba Tuskegee Quality Health Care

  • Federally Qualified Health Center (FQHC)
  • Tuskegee, AL
  • NPI 1770929028
  NPD
• Quality of Life Health Services Inc

  dba Canterberry Family Practice

  • Community Health Clinic/Center
  • Gadsden, AL
  • NPI 1902856214
  NPD (past)
• Carestl Health

  • Federally Qualified Health Center (FQHC)
  • Overland, MO
  • NPI 1275363137
  NPD (past)
• Carestl Health

  • Federally Qualified Health Center (FQHC)
  • Jennings, MO
  • NPI 1912440876
  NPD (past)

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1568464436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359020097",
            "telephone_number": "256-492-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 TUSCALOOSA AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359013005",
            "telephone_number": "256-492-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "HENRY",
        "middle_name": "LANE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AL",
            "license": "312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164267",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "511-57484",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169734",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "511-55075",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaden Bryana Bostikck
• Jeffery Michael Bowen, FNP
• Rosalind Evone Bowles, MD
• Jimmy Wayne Bowlin Jr., CRNP
• Leanne Zahid Bowman, D.M.D
• Sammye L Bradley, CRNP
• Branch Care Inc.
• Linda B. Brandon
• Courtney Brand Brannon
• Kristy Bray, CRNP

• Podiatrist in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Podiatrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.