LAURI BRADFORD FNP-BC NPI 1578155974

NPI Information

  • NPI: 1578155974
  • Provider Name: LAURI BRADFORD, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 30920 SOUTHFIELD RD
    SOUTHFIELD, MI
    ZIP 48076
  • Phone: (248) 647-7472

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NPI Details

Lauri Bradford, FNP-BC is a family nurse practitioner in Southfield, MI with 5 years of experience. Lauri Bradford, FNP-BC NPI is 1578155974. 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:

30920 SOUTHFIELD RD
SOUTHFIELD, MI
ZIP 48076-738
Phone: (248) 647-7472

The NPI 1578155974 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.

  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)

The enumeration date for this NPI number is 2/7/2021 and was last updated on 12/15/2021.

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
1363LF0000XNurse PractitionerFamily4704269030MICHIGANYes
2163W00000XRegistered Nurse4704269030MICHIGANNo

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: 11/21/2025

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