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MS. KIMBERLY ROSS FONCHAM BRADLEY ARNP NPI 1750773255


NPI Information

NPI: 1750773255
Provider Name: MS. KIMBERLY ROSS FONCHAM BRADLEY, ARNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2940 S US HIGHWAY 1
STE C11
FORT PIERCE, FL
ZIP 34982
Phone: (772) 466-6855
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MS. Kimberly Ross Foncham Bradley, ARNP is a family nurse practitioner in Fort Pierce, FL with 11 years of experience. MS. Kimberly Ross Foncham Bradley, ARNP NPI is 1750773255. 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:

2940 S US HIGHWAY 1
STE C11
FORT PIERCE, FL
ZIP 34982-143
Phone: (772) 466-6855
Fax: (772) 464-4963

The NPI 1750773255 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.

  • Automated urinalysis test (HCPCS:81003)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)

The enumeration date for this NPI number is 2/21/2015 and was last updated on 2/16/2022.


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
1163W00000XRegistered Nurse9187855FLORIDANo
2363LF0000XNurse PractitionerFamilyARNP 9187855FLORIDAYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.