Organization Active NPI

Chad Bradford M.D.P.C.

  • Family Medicine Physician
  • Scottsboro, AL
National Provider Identifier
1659487411
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00026295 Issued in AL
Legal business name
CHAD BRADFORD M.D.P.C.
Practice address
508 Harley St
Suite B
Scottsboro, AL 35768-4294
Phone
(256) 259-0734
NPI assigned
Aug 22, 2006
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Ms. Sandy Childress, CPC
Title
Coder/Biller
Phone
(256) 259-0734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 00026295 AL Primary

Addresses

Primary practice location

508 Harley St
Suite B
Scottsboro, AL 35768-4294

Mailing address

508 Harley St
Suite B
Scottsboro, AL 35768-4294
Phone (256) 259-0734

National Provider Directory

National Provider Directory

Locations

508 Harley St
Ste B
Scottsboro, AL 35768
Phone (205) 574-6157

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1659487411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 HARLEY ST",
            "address_2": "SUITE B",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357684294",
            "telephone_number": "256-259-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 HARLEY ST",
            "address_2": "SUITE B",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357684294",
            "telephone_number": "256-259-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAD BRADFORD M.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "CHILDRESS",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "CODER/BILLER",
        "authorized_official_telephone_number": "256-259-0734",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00026295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsboro, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.