Stephanie Nicole Bratton, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

OS16593 Issued in FL

Practice address

1505 Delaware Ave Ste 648
Fort Pierce, FL 34950-3975

Phone

(772) 461-1402

Fax

(844) 540-4796

NPI assigned

Jun 8, 2016

Last updated

Sep 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, AR2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sbratton1231550@direct.umm.edu

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.

• St Bernards Hospital Inc.

  dba St Bernards Medical Center

  • General Acute Care Hospital
  • Jonesboro, AR
  • NPI 1396053096
  Medicare reassignment NPD
• University of Maryland Community Medical Group, Inc.

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1477530624

  Pediatrics

  Medicare reassignment NPD
• University of Maryland Community Medical Group, Inc.

  • Psychiatry Physician
  • La Plata, MD
  • NPI 1679393854
  NPD
• Shore Health System, Inc

  dba UM Shore Medical Center at Easton

  • General Acute Care Hospital
  • Easton, MD
  • NPI 1669431219
  NPD (past)

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1861841132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 DELAWARE AVE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349503975",
            "telephone_number": "772-461-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 DELAWARE AVE STE 648",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349503975",
            "telephone_number": "772-461-1402",
            "fax_number": "844-540-4796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "808 S 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "MD",
            "postal_code": "216291398",
            "country_code": "US",
            "telephone_number": "410-479-2650",
            "fax_number": "410-479-1626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 Hillmoore Ave",
            "address_2": "Suite 19",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349527552",
            "country_code": "US",
            "telephone_number": "772-335-8455",
            "fax_number": "844-542-8965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRATTON",
        "first_name": "STEPHANIE",
        "middle_name": "NICOLE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-08",
        "last_updated": "2020-09-22",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "H0087459",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "UO4896",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "OS16593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felicia Ardell Bradley
• Jasmine Brainerd
• Brianna Bran, MD
• Jennifer Branch, RN
• Theresa Brandifno
• Breathe a New Life Inc
• Paola Andrea Bregolat
• Cathy Marie Breighner, RN
• Michael James Brennan, MD, MS
• Brett D Schoch D C P a (Living Waters Wellness)

• Pediatrics Physician in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.