Andrea Carol Bradford, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

026832 Issued in GA

Practice address

4170 Ashford Dunwoody Rd NE
Atlanta, GA 30319-1442

Phone

(404) 949-2845

Fax

(770) 737-3003

NPI assigned

May 30, 2008

Last updated

Aug 1, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Baptist Memorial Hospital - Golden Triangle Inc.

  • General Acute Care Hospital
  • Columbus, MS
  • NPI 1609830173
  NPD (past)

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1689832214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4280 BALL GROUND RD",
            "city": "BALL GROUND",
            "state": "GA",
            "postal_code": "301074371",
            "telephone_number": "770-294-1214",
            "fax_number": "770-737-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4170 ASHFORD DUNWOODY RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303191442",
            "telephone_number": "404-949-2845",
            "fax_number": "770-737-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "ANDREA",
        "middle_name": "CAROL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "026832",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "200100018",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iulia Ioana Bradeanu
• Andrea Leigh Braden, MD
• Brandon Braden
• Christopher R Braden, MD
• Adrienne Catherine Bradford, PH.D
• Caroline Grace Bradford
• Charles Shannon Bradford Jr., M.D.
• Kathleen Cuneo Bradford, NP
• Laetitia Bradford, PHARMD
• Lisa Bazzano Bradford, MA CCC-SLP

• Psychiatry Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.