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

Active since March 08, 2023PECOS Enrolled
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: July 19, 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.

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
Fax(909) 558-9460
Sole ProprietorNo
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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. William Joseph Bradley Agacnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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

The NPI number assigned to this healthcare provider is 1033819958, enumerated as an "individual" on March 08, 2023.

The provider is located at 11234 ANDERSON ST # MC-2408 LOMA LINDA, CA 92354 and the phone number is (909) 558-4000.

Nurse Practitioner with taxonomy code 363LA2100X and a focus in Acute Care.