Active NPI
Chad Bradford M.D.P.C.
- Family Medicine Physician
- Scottsboro, AL
National Provider Identifier
1659487411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 00026295
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.