Active NPI
Elaine Leatrice Bradfordt
- Private Vehicle
- Cleveland HTS, OH
National Provider Identifier
1740022110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- License
- RM783349
- Practice address
- 2884 Noble Rd
Cleveland HTS, OH 44121-2231 - Phone
- (216) 770-4290
- NPI assigned
- Jun 7, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | RM783349 | OH | Primary |
Addresses
Primary practice location
2884 Noble Rd
Cleveland HTS, OH 44121-2231
Mailing address
2884 Noble Rd
Cleveland HTS, OH 44121-2231
Phone (216) 770-4290
Other names 1
- Infinite Cruise Conciegre
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RM783349 | OH | MD | Private Vehicle |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1740022110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2884 NOBLE RD",
"city": "CLEVELAND HTS",
"state": "OH",
"postal_code": "441212231",
"telephone_number": "216-770-4290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2884 NOBLE RD",
"city": "CLEVELAND HTS",
"state": "OH",
"postal_code": "441212231",
"telephone_number": "216-770-4290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADFORDT",
"first_name": "ELAINE",
"middle_name": "LEATRICE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-07",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "OH",
"license": "RM783349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "INFINITE",
"last_name": "CONCIEGRE",
"middle_name": "CRUISE",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Cleveland HTS, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.