Active NPI
Bradley John Bradford, MD
- Pediatrics Physician
- Delray Beach, FL
National Provider Identifier
1972501401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME80414
- Practice address
- 285 SE 5TH Ave
Delray Beach, FL 33483-5206 - Phone
- (561) 272-8991
- Fax
- (561) 272-8985
- NPI assigned
- Jul 8, 2005
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME80414 | FL | Primary |
Addresses
Primary practice location
285 SE 5TH Ave
Delray Beach, FL 33483-5206
Mailing address
285 SE 5TH Ave
Delray Beach, FL 33483-5206
Phone (561) 272-8991
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10511 | Other | FL | DIMENSION |
| 268188901 | Medicaid | FL | |
| 278678 | Other | FL | WELLCARE |
| 30114893 | Other | FL | HUMANA |
| 238939 | Other | FL | AMERIGROUP |
| 278678 | Other | FL | HEALTHEASE |
| 332659 | Other | FL | PHC |
| 3580558 | Other | FL | AETNA |
| 37543 | Other | FL | BCBS |
| 0610645 | Other | FL | CIGNA |
| 293270 | Other | FL | AV MED |
| 114893 | Other | FL | HUMANA HMO |
| P3606154 | Other | FL | OXFORD |
| 10467 | Other | FL | TOTAL HEALTH CHOICE |
| 278678 | Other | FL | STAYWELL |
| FP4185 | Other | FL | BEECH STREET |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME80414 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mar Medical Consultants, PA | Pediatrics | Past | Accepting new patients |
| Mar Medical Consultants, PA | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- bradley.bradford.1@28920.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Delray Beach, FL
- NPI 1578991857
-
- Pediatrics Physician
- Delray Beach, FL
- NPI 1720147275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208822400000",
"number": "1972501401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 SE 5TH AVE",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334835206",
"telephone_number": "561-272-8991",
"fax_number": "561-272-8985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 SE 5TH AVE",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334835206",
"telephone_number": "561-272-8991",
"fax_number": "561-272-8985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADFORD",
"first_name": "BRADLEY",
"middle_name": "JOHN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-08",
"last_updated": "2008-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME80414",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIMENSION",
"identifier": "10511",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "268188901",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "278678",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "30114893",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "238939",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHEASE",
"identifier": "278678",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHC",
"identifier": "332659",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3580558",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "37543",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0610645",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AV MED",
"identifier": "293270",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA HMO",
"identifier": "114893",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3606154",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TOTAL HEALTH CHOICE",
"identifier": "10467",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STAYWELL",
"identifier": "278678",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEECH STREET",
"identifier": "FP4185",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.