Active NPI
Bradley Stanford Why, FPMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Newark, DE
National Provider Identifier
1871821322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- L8-0000104
- Practice address
- 1423 Capitol Trail Drummond Plaza Office Park
Building 1, Suite 1107
Newark, DE 19707 - Phone
- (302) 502-3255
- Fax
- (302) 502-3257
- NPI assigned
- Nov 20, 2009
- Last updated
- May 24, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | L8-0000104 | DE | Primary |
Addresses
Primary practice location
1423 Capitol Trail Drummond Plaza Office Park
Building 1, Suite 1107
Newark, DE 19707
Mailing address
1423 Capitol Trail Drummond Plaza Office Park
Building 1, Suite 1107
Newark, DE 19707
Phone (302) 502-3255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000291051 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181212000410 | DE | Practitioner - Nurse Practitioner | 5890039242 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bancroft Behavioral Health | Psychiatric/Mental Health | 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Newark, DE
- NPI 1992017479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464048000000",
"number": "1871821322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1423 CAPITOL TRAIL DRUMMOND PLAZA OFFICE PARK",
"address_2": "BUILDING 1, SUITE 1107",
"city": "NEWARK",
"state": "DE",
"postal_code": "19707",
"telephone_number": "302-502-3255",
"fax_number": "302-502-3257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1423 CAPITOL TRAIL DRUMMOND PLAZA OFFICE PARK",
"address_2": "BUILDING 1, SUITE 1107",
"city": "NEWARK",
"state": "DE",
"postal_code": "19707",
"telephone_number": "302-502-3255",
"fax_number": "302-502-3257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHY",
"first_name": "BRADLEY",
"middle_name": "STANFORD",
"name_prefix": "Mr.",
"credential": "FPMHNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-20",
"last_updated": "2016-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "DE",
"license": "L8-0000104",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000000291051",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.