Individual provider Active NPI

Joyce Denise Bradford, DPM

  • Podiatrist
  • Southfield, MI
National Provider Identifier
1710107701
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
001148 Issued in MI
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

Updated by the provider on May 12, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100111000696 MI Practitioner - Podiatry 1254472061 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001148MIMDSports Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Telehealth Studios PLLC Sports Medicine Current Accepting new patients
Mobile Wellness CurrentSince Nov 30, 2009 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

Verify at the official NPI Registry.