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MR. WILLIAM JOSEPH BRADLEY AGACNP-BC
NPI 1033819958
Nurse Practitioner - Acute Care in Loma Linda, CA

Active since March 08, 2023PECOS EnrolledAccepts Medicare Assignment
11234 ANDERSON ST # MC-2408, LOMA LINDA, CA 92354(909) 558-4000(909) 558-9460 Get Directions Write a Review

NPPES record last updated: March 8, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. William Joseph Bradley Agacnp-bc NPPES

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

MR. WILLIAM JOSEPH BRADLEY AGACNP-BC (NPI 1033819958) is an individual acute care provider in Loma Linda, California, licensed in California (95024500) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1033819958
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMR. WILLIAM JOSEPH BRADLEYCredential: AGACNP-BC
Location Address11234 ANDERSON ST # MC-2408Loma Linda, CA 92354-2804
Mailing Address11234 Anderson St # Mc-2408Loma Linda, CA 92354-2804 · (909) 558-4000 · Fax (909) 558-9460
Phone(909) 558-4000
Fax(909) 558-9460
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 8, 2023
NPPES CertifiedMarch 8, 2023
✔ NPI 1033819958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in CA · 95024500
11234 ANDERSON ST # MC-2408, Loma Linda, CA 92354
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. William Joseph Bradley Agacnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062853690
PECOS Enrollment IDI20240514003531
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show William Bradley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Faculty Physicians And Surgeons Of Llusm
Same address
Anatomic Pathology & Clinical Pathology
11234 ANDERSON ST
Loma Linda, CA 92354
  • Reassigned Medicare billing, California enrollment
  • 2,584 clinicians in this Medicare group
NPI 1245605781 (909) 558-6122

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92354 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 William Bradley's NPI number?

The NPI number for William Bradley is 1033819958. It was assigned to this individual provider in the NPPES registry on March 8, 2023.

Where is William Bradley located?

William Bradley practices at 11234 Anderson St # Mc-2408, Loma Linda, CA 92354. The listed phone number is (909) 558-4000.

What is William Bradley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is William Bradley enrolled in Medicare?

Yes. William Bradley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for William Bradley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Bradley reassigns Medicare benefits to Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for William Bradley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for William Bradley was last updated on March 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.