MR. BRADLEY JAMES WINE RN
NPI 1013553650
Registered Nurse - Medical-Surgical in Jacksonville, FL

Active since November 19, 2019
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207(904) 202-2000 Get Directions Write a Review

NPPES record last updated: November 19, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Bradley James Wine Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BRADLEY JAMES WINE RN (NPI 1013553650) is an individual medical-surgical provider in Jacksonville, Florida, licensed in Florida (RN9524431) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1013553650
Entity TypeIndividualMale
Primary Taxonomy163WM0705X
Provider Legal NameMR. BRADLEY JAMES WINECredential: RN
Location Address800 PRUDENTIAL DRJacksonville, FL 32207-8202
Mailing Address1010 N 102nd St Ste 300Omaha, NE 68114-2122 · (904) 202-2000
Sole ProprietorYes
Enumeration DateNovember 19, 2019
NPI 1013553650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Medical-SurgicalNursing Service Providers
Taxonomy Code163WM0705X
License Licensed in FL · RN9524431
800 PRUDENTIAL DR, Jacksonville, FL 32207

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Speech-Language Pathologist
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Physical Therapist
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Nurse Practitioner (Neonatal)
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Anesthesiologist Assistant
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Anesthesiologist Assistant
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Pathology (Anatomic Pathology & Clinical Pathology)
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Registered Nurse
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bradley Wine's NPI number?

The NPI number for Bradley Wine is 1013553650. It was assigned to this individual provider in the NPPES registry on November 19, 2019.

Where is Bradley Wine located?

Bradley Wine practices at 800 Prudential Dr, Jacksonville, FL 32207. The listed phone number is (904) 202-2000.

What is Bradley Wine's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Medical-Surgical, with taxonomy code 163WM0705X.

When was this NPI record last updated?

The NPPES record for Bradley Wine was last updated on November 19, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.