Individual provider Active NPI

William Allan Bradley, ACNP-BC

  • Acute Care Nurse Practitioner
  • Larkspur, CA
National Provider Identifier
1992869176
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
NPF12474 Issued in CA
Practice address
2 Bon Air Rd
Suite 100
Larkspur, CA 94939-1141
Phone
(415) 927-0666
Fax
(415) 927-6919
NPI assigned
Dec 21, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X NPF12474 CA Primary

Addresses

Primary practice location

2 Bon Air Rd
Suite 100
Larkspur, CA 94939-1141

Mailing address

2 Bon Air Rd
Suite 100
Larkspur, CA 94939-1141
Phone (415) 927-0666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20120423000168 CA Practitioner - Nurse Practitioner 6507027349 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95
Improvement activities
40
Cost
80.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NPF12474CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regents Univ of California UCSF CurrentSince Apr 1, 2019 Accepting new patients
University of California San Francisco CurrentSince Dec 1, 2019 Accepting new patients
UCSF Medical Group Business Services CurrentSince Dec 1, 2019 Accepting new patients
UCSF Medical Group Business Services Acute Care CurrentSince Dec 1, 2019 Accepting new patients
University of California San Francisco CurrentSince Dec 1, 2019 Accepting new patients
Regents of the University of California CurrentSince Dec 1, 2019 Accepting new patients
University of California San Francisco Current Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
Marin Healthcare District Past Accepting new patients
Regents of the University of California Past Accepting new patients

Locations

2 Bon Air Rd
Ste 100
Larkspur, CA 94939

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

505 Parnassus Ave
#M324
San Francisco, CA 94143

Interoperability endpoints

  • Direct secure messaging: wbradley106696@direct-ucsfmedicalcenter.org

Organizations & group practices 10

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1992869176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BON AIR RD",
            "address_2": "SUITE 100",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391141",
            "telephone_number": "415-927-0666",
            "fax_number": "415-927-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BON AIR RD",
            "address_2": "SUITE 100",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391141",
            "telephone_number": "415-927-0666",
            "fax_number": "415-927-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "WILLIAM",
        "middle_name": "ALLAN",
        "name_prefix": "Mr.",
        "credential": "ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "NPF12474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Larkspur, CA

Sources for this page

Verify at the official NPI Registry.