Kendall Alexandra Bradford, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10265 Issued in AZ

Practice address

9980 W Glendale Ave Ste 130
Glendale, AZ 85307-3007

Phone

(623) 332-3380

NPI assigned

Mar 12, 2024

Last updated

Mar 12, 2024By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Pleasant Pediatrics

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1497465470
  NPD (past)
• Pleasant Pediatrics PLC

  • Pediatrics Physician
  • Glendale, AZ
  • NPI 1467032649
  NPD (past)
• Pleasant Pediatrics PLC

  • Pediatrics Physician
  • Peoria, AZ
  • NPI 1477742807
  NPD (past)
• Pleasant Pediatrics PLC

  • Pediatrics Physician
  • Glendale, AZ
  • NPI 1619485489
  NPD (past)
• Pleasant Pediatrics PLC

  dba Pleasant Pediatrics

  • Pediatrics Physician
  • Peoria, AZ
  • NPI 1790025591
  NPD (past)

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1952169187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7739 E SANDS DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852554021",
            "telephone_number": "480-204-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9980 W GLENDALE AVE STE 130",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853073007",
            "telephone_number": "623-332-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "KENDALL",
        "middle_name": "ALEXANDRA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "10265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Marie Bowyer, CSA
• James Boyd, OT
• Melvina Rae Boyd, RN, BSN
• Jody Boyer, PA-C
• Kimberly Ann Brabentz, PA
• Bradley J Folkestad, MD, LTD
• Bradley K Becker, PC
• Gail Bradley, M.D.
• Lee Ann Brady, D.M.D.
• Lovelin Branam

• Physician Assistant in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.