Individual provider Active NPI

Tammy Lynn Bradford, CPNP

  • Pediatric Nurse Practitioner
  • Round Rock, TX
National Provider Identifier
1801237771
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP124085 Issued in TX
Practice address
425 University Blvd
Round Rock, TX 78665-1053
Phone
(512) 509-0200
NPI assigned
Jul 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 604545 TX
Pediatric Nurse Practitioner 363LP0200X AP124085 TX Primary

Addresses

Primary practice location

425 University Blvd
Round Rock, TX 78665-1053

Mailing address

PO Box 844658
Dallas, TX 75284-4658

Other practice location 1

1301 Memorial Dr
Bryan, TX 77802-5205
Phone (979) 731-4520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190820003469 TX Practitioner - Nurse Practitioner 2567790140 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
604545TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brazos Valley Community Action Agency, Inc. CurrentSince Jul 7, 2024 Accepting new patients
Brazos Valley Community Action Agency, Inc. CurrentSince Jul 7, 2024 Accepting new patients

Locations

1301 Memorial Dr
Bryan, TX 77802
Phone (979) 731-4520

1500 University Dr E
College Station, TX 77840
Phone (979) 693-7400

1500 University Dr E
Ste 100
College Station, TX 77840
Phone (979) 383-2340

8310 Highway 6 Loop
Navasota, TX 77868
Phone (936) 825-0000

Interoperability endpoints

  • Direct secure messaging: tammy.bradford@hptx.eclinicaldirectplus.com

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": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1801237771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 UNIVERSITY BLVD",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651053",
            "telephone_number": "512-509-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Bryan",
            "state": "TX",
            "postal_code": "778025205",
            "country_code": "US",
            "telephone_number": "979-731-4520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "TAMMY",
        "middle_name": "LYNN",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-08",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "604545",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP124085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.