MRS. CONSTANCE M BRADFORD RN FNP-C NPI 1003960907

NPI Information

  • NPI: 1003960907
  • Provider Name: MRS. CONSTANCE M BRADFORD, RN, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 314 MAIN STREET
    SUITE B
    MONTICELLO, MS
    ZIP 39654
  • Phone: (601) 393-1953

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NPI Details

MRS. Constance M Bradford, RN, FNP-C is a family nurse practitioner in Monticello, MS with 11 years of experience. MRS. Constance M Bradford, RN, FNP-C NPI is 1003960907. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

314 MAIN STREET
SUITE B
MONTICELLO, MS
ZIP 39654
Phone: (601) 393-1953
Fax: (601) 393-1954

The NPI 1003960907 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Urinalysis, manual test (HCPCS:81002)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)
  • Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)

The enumeration date for this NPI number is 1/22/2007 and was last updated on 10/3/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WM0705XRegistered NurseMedical-SurgicalR878491MISSISSIPPINo
2363LF0000XNurse PractitionerFamilyR878491MISSISSIPPINo
3363LF0000XNurse PractitionerFamily878491MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101980539MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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