Sandra Kay Bradley, RNC, BSN, NNP
Individual provider Active NPI Neonatal Nurse Practitioner · San Antonio, TX
NPI 1679584635 · NPPES record last updated Jul 25, 2025
Key facts
- NPI
- 1679584635
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neonatal Nurse Practitioner 363LN0000X
- License
- AP107389 (TX)
- Practice address
- 5430 Fredericksburg Rd Ste 508
San Antonio, TX 78229-3561 - Phone
- (210) 541-8281
- Fax
- (210) 541-9123
- NPI assigned
- Aug 11, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor on Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP107389 | TX | MD | Neonatal Nurse Practitioner |
| 544245 | TX | MD | Critical Care Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sid Peterson Memorial Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | 544245 | TX | |
| Neonatal Nurse Practitioner | 363LN0000X | AP107389 | TX | Yes |
Addresses
Primary practice location
5430 Fredericksburg Rd Ste 508
San Antonio, TX 78229-3561
Mailing address
5430 Fredericksburg Rd Ste 508
San Antonio, TX 78229-3561
Phone (210) 541-8281
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111855603 | Medicaid | TX | |
| 96185602 | Medicaid | TX |
Other providers in San Antonio, TX
- Bradley R Prestidge MD PA
- Hannah Olivia Bradley
- Lashlee Anne Bradley
- Laurie L Bradley
- Nathaniel David Bradley
- Steven Roan Bradley
- Brandon Lee Bradshaw I
- Jonathan Bradshaw
- Kayla Bradshaw
- Rondol Bradshaw
All providers in San Antonio, TX · Neonatal Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.