William Allan Bradley, ACNP-BC
Individual provider Active NPI Acute Care Nurse Practitioner · Larkspur, CA
NPI 1992869176 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1992869176
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- NPF12474 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 95
- Improvement activities
- 40
- Cost
- 80.65
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120423000168 | CA | Practitioner - Nurse Practitioner | 6507027349 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12474 | CA | MD | Acupuncturist |
| NPF12474 | CA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UCSF Medical Group Business Services | Acute Care | Current |
Accepting new patients |
| Regents of the University of California | Current |
Accepting new patients | |
| University of California San Francisco | Current |
Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| Regents Univ of California UCSF | Current |
Accepting new patients | |
| UCSF Medical Group Business Services | Current |
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
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664
505 Parnassus Ave
#M324
San Francisco, CA 94143
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
Interoperability endpoints
- wbradley106696@direct-ucsfmedicalcenter.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | NPF12474 | CA | Yes |
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
Other providers in Larkspur, CA
- April Fay Blake
- Nancy Schill Bloom
- Sally Elizabeth Boero
- Julie Bokser
- Maria Elizabeth Beloy Bradley
- Nelson Branco
- Cheri Brendel
- Richard William Brenner
- Virginia Brenner
- Timothy George Bricca
All providers in Larkspur, CA · Acute Care Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.