Individual provider Active NPI

Christina N Bradley, FNP-C

  • Family Nurse Practitioner
  • Rochester Hills, MI
National Provider Identifier
1912514860
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704326980 Issued in MI
Practice address
1268 Walton Blvd
Rochester Hills, MI 48307-6900
Phone
(248) 710-2900
NPI assigned
Sep 24, 2020
Last updated
Sep 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704326980 MI Primary

Addresses

Primary practice location

1268 Walton Blvd
Rochester Hills, MI 48307-6900

Mailing address

1268 Walton Blvd
Rochester Hills, MI 48307-6900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20201002001924 MI Practitioner - Nurse Practitioner 4587083902 Reassigns benefits to 14 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Nova Southeastern Univ College of Dental Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Main Street Dermatology PLLCGroup PAC ID 3476917766, 5 clinicians

Practice addresses (Care Compare)

5885 S Main St
Suite 1
Clarkston, MI 48346-2981
Phone (614) 507-3765

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Urgent Care PC CurrentSince Sep 25, 2020 Accepting new patients
Rochester Urgent Care Walk-in Clinic CurrentSince Sep 25, 2020 Accepting new patients
Shelby Urgent Care Walk-in Clinic CurrentSince Sep 25, 2020 Accepting new patients
Doctors Urgent Care Southfield CurrentSince Sep 25, 2020 Accepting new patients
Chesterfield Urgent Care Walk-in Clinic CurrentSince Sep 25, 2020 Accepting new patients
Canton Urgent Care Walk-in Clinic PC CurrentSince Sep 25, 2020 Accepting new patients
Troy Urgent Care Walk-in Clinic CurrentSince Sep 25, 2020 Accepting new patients
Clinton Urgent Care Walk-in Clinic CurrentSince Sep 25, 2020 Accepting new patients
Main Street Dermatology, PLLC CurrentSince May 1, 2024 Accepting new patients
Sterling Heights Urgent Care Walk-in Clinic CurrentSince Sep 25, 2020 Accepting new patients
Commerce Urgent Care Walk-in Clinic CurrentSince Sep 25, 2020 Accepting new patients
Farmington Hills Urgent Care Walk-in Clinic PC PastSince Jul 31, 2022 Accepting new patients
Pro-Health Medical FP Past Accepting new patients

Locations

43033 Ford Rd
Canton, MI 48187
Phone (734) 927-5050

51160 Gratiot Ave
Chesterfield, MI 48051
Phone (586) 221-1805

5885 S Main St
Ste 1
Clarkston, MI 48346
Phone (248) 620-1900

37150 S Gratiot Ave
Clinton Twp, MI 48036
Phone (586) 267-1334

2900 Union Lake Rd
Ste 110
Commerce Twp, MI 48382
Phone (248) 242-6049

25950 Middlebelt Rd
Farmington Hills, MI 48336
Phone (248) 803-0672

14671 Telegraph Rd
Redford, MI 48239
Phone (313) 387-2100

2915 Walton Blvd
Rochester Hills, MI 48309
Phone (248) 375-0022

46961 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 991-5205

43722 Schoenherr Rd
Sterling Hts, MI 48313
Phone (586) 262-4277

23234 Ecorse Rd
Taylor, MI 48180
Phone (313) 292-8400

4060 Rochester Rd
Troy, MI 48085
Phone (248) 250-6420

Interoperability endpoints

  • Direct secure messaging: christina.bradley.1@27934.direct.athenahealth.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1912514860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1268 WALTON BLVD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483076900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 WALTON BLVD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483076900",
            "telephone_number": "248-710-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "CHRISTINA",
        "middle_name": "N",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-24",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704326980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.