Rebekah Diane Bradley, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3017430 Issued in KY

Practice address

4540 US Route 60
Huntington, WV 25705-1936

Phone

(304) 525-7111

Fax

(304) 850-3112

NPI assigned

Feb 24, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Huntington Hospitalist Group IncGroup PAC ID 7810125424, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Huntington Hospitalist Group Inc

  • Hospitalist Physician
  • Huntington, WV
  • NPI 1750710166
  Medicare reassignment Care Compare group NPD
• Huntington Hospitalist Group Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Huntington, WV
  • NPI 1124695721
  NPD
• Huntington Hospitalist Group Inc

  • Multi-Specialty Clinic/Center
  • Grayson, KY
  • NPI 1467223982
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1821744285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 US ROUTE 60",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257051936",
            "telephone_number": "304-525-7111",
            "fax_number": "304-850-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 US ROUTE 60",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257051936",
            "telephone_number": "304-525-7111",
            "fax_number": "304-850-3112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2205 Carter Ave",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "KY",
            "postal_code": "411017823",
            "country_code": "US",
            "telephone_number": "304-525-7111 x2",
            "fax_number": "304-850-3112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "REBEKAH",
        "middle_name": "DIANE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3017430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Bradley
• Anne Bradley, PHARM.D.
• Janie Carol Bradley, PTA
• Jessica Rae Bradley, PSY.D.
• Laura E Bradley, PAC
• Stella Bradley
• Teri Louise Bradley, RN
• Rhonda Sue Bradshaw, HOME HEALTH AIDE
• Sarah Elizabeth Marie Bradshaw, MSN, APRN, FNP-BC
• Lisa Bradway, MSW

• Family Nurse Practitioner in Huntington, WV
• Providers in Huntington, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.