Active NPI
Joyce Denise Bradford, DPM
- Podiatrist
- Southfield, MI
National Provider Identifier
1710107701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 001148
- Practice address
- 2000 Town Ctr Ste 1900
Southfield, MI 48075-1152 - Phone
- (248) 565-4024
- Fax
- (775) 587-3115
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine Podiatrist | 213ES0000X | 001148 | MI | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 001148 | MI | |
| Podiatrist | 213E00000X | 001148 | MI | Primary |
Addresses
Primary practice location
2000 Town Ctr Ste 1900
Southfield, MI 48075-1152
Mailing address
2000 Town Ctr
Ste 1900
Southfield, MI 48075-1152
Phone (248) 565-4024
Other names 1
- Dr. J D Bradford
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100111000696 | MI | Practitioner - Podiatry | 1254472061 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001148 | MI | MD | Sports Medicine Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telehealth Studios PLLC | Sports Medicine | Current | Accepting new patients |
| Mobile Wellness | Current | Accepting new patients |
Locations
2000 Town Ctr
Ste 1900
Southfield, MI 48075
Phone (248) 565-4024
15900 W 10 Mile Rd
Ste 211246
Southfield, MI 48075
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652313600000",
"number": "1710107701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 TOWN CTR",
"address_2": "STE 1900",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480751152",
"telephone_number": "248-565-4024",
"fax_number": "775-587-3115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 TOWN CTR STE 1900",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480751152",
"telephone_number": "248-565-4024",
"fax_number": "775-587-3115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADFORD",
"first_name": "JOYCE",
"middle_name": "DENISE",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2022-05-12",
"certification_date": "2022-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0000X",
"taxonomy_group": "",
"desc": "Podiatrist, Sports Medicine",
"state": "MI",
"license": "001148",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MI",
"license": "001148",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MI",
"license": "001148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "J",
"last_name": "BRADFORD",
"middle_name": "D",
"prefix": "DR.",
"credential": "DPM",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.