Anne S Bradford, RN, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

410985 Issued in CA

Practice address

80 Great Oaks Blvd
San Jose, CA 95119-1310

Phone

(408) 363-3000

NPI assigned

Jul 21, 2006

Last updated

Apr 29, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

Practice roles

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.

• VA Palo Alto Healthcare System

  • VA Clinic/Center
  • San Jose, CA
  • NPI 1003206244
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304035200000",
    "number": "1619998226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 GREAT OAKS BLVD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191310",
            "telephone_number": "408-363-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 GREAT OAKS BLVD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191310",
            "telephone_number": "408-363-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "ANNE",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "RN, NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2011-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "410985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Anne Bracciodieta
• Maxine Yasmine Bracero, CMA
• Melinda Carlisle Brackett, LMFT
• Braden Partners LP (Pacific Pulmonary Services)
• Bradford G. Murray, O.D., a Professional Corp.
• Tamiya Bradford
• Bradley J. E. Profesional Corporation
• Bradley Y Tsutsui DDS Inc
• Alexis Bradley, NP
• Barbara J Bradley, OTR OCC THERAPIST

• Adult Health Nurse Practitioner in San Jose, CA
• Providers in San Jose, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; 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.