Active NPI
Janice Hale Bradford, CRNP
- Family Nurse Practitioner
- Butler, AL
National Provider Identifier
1790808343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-037189
- Practice address
- 1001 S Mulberry Ave
Butler, AL 36904-2813 - Phone
- (334) 459-4026
- NPI assigned
- Apr 9, 2007
- Last updated
- Feb 11, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-037189 | AL | Primary |
Addresses
Primary practice location
1001 S Mulberry Ave
Butler, AL 36904-2813
Mailing address
201 Monroe St Ste 1386
Montgomery, AL 36104-3735
Phone (334) 206-7959
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50501 | Medicaid | AL |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-037189 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ronnie T Chu MD P C | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Legal Medicine
- Demopolis, AL
- NPI 1447450465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360540800000",
"number": "1790808343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 MONROE ST STE 1386",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361043735",
"telephone_number": "334-206-7959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 S MULBERRY AVE",
"city": "BUTLER",
"state": "AL",
"postal_code": "369042813",
"telephone_number": "334-459-4026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADFORD",
"first_name": "JANICE",
"middle_name": "HALE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2013-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-037189",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "50501",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Butler, AL
- Anderson Physician Alliance, Inc (Anderson Family Medical Center)
- Anderson Regional Medical Center (Anderson Family Medical Center Butler)
- Arabella Health & Wellness of Butler Opco LLC (Arabella Health & Wellness of Butler)
- Bernita McCants MD LLC
- Blue Ridge Healthcare Willow Trace LLC
- Antonio Bush
- Butler Health and Rehab LLC
- Butler Optical Center,Inc
- Tekondia Carter
- Centerwell Certified Healthcare Corp. (Centerwell Home Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.