Individual provider Active NPI

Bradley Stanford Why, FPMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Newark, DE
National Provider Identifier
1871821322
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
L8-0000104 Issued in DE
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, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000291051MedicaidDE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181212000410 DE Practitioner - Nurse Practitioner 5890039242

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.