BRADFORD NATHANIAL WHITEHEAD NP
NPI 1063950335
Nurse Practitioner - Psychiatric/Mental Health in Jeffersonville, IN

Q: What is Bradford Whitehead's NPI number?

The NPI number for Bradford Whitehead is 1063950335. It was assigned to this individual provider in the NPPES registry on February 7, 2017.

Q: What is Bradford Whitehead's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since February 07, 2017PECOS Enrolled

1036 SHARON DR, JEFFERSONVILLE, IN 47130(812) 280-2080 Get Directions Write a Review

NPPES record last updated: February 7, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Bradford Nathanial Whitehead Np NPPES

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

BRADFORD NATHANIAL WHITEHEAD NP (NPI 1063950335) is an individual psychiatric/mental health provider in Jeffersonville, Indiana, licensed in Indiana (71006859A) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1063950335

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameBRADFORD NATHANIAL WHITEHEADCredential: NP

Location Address1036 SHARON DRJeffersonville, IN 47130-4522

Mailing Address1036 Sharon DrJeffersonville, IN 47130-4522 · (812) 280-2080

Phone(812) 280-2080

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateFebruary 7, 2017

✔ NPI 1063950335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in IN · 71006859A

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 71006859A (IN)

1036 SHARON DR, Jeffersonville, IN 47130

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bradford Nathanial Whitehead Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335407527

PECOS Enrollment IDI20250206002125

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 Reassignments

Medicare enrollment records show Bradford Whitehead reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tlbh Wellness

64 mi

Rural Health

334 S MAIN ST
Leitchfield, KY 42754

Reassigned Medicare billing, Kentucky enrollment
12 clinicians in this Medicare group

NPI 1518553874 (270) 200-0501

Twin Lakes Counseling Services, LLC

64 mi

Professional

346 S MAIN ST
Leitchfield, KY 42754

Reassigned Medicare billing, Kentucky enrollment
15 clinicians in this Medicare group

NPI 1508100447 (270) 230-1777

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 47130 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

Other Providers at the Same Location NPPES 18

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

ELISSA VAUGHN APRN

Nurse Practitioner (Psychiatric/Mental Health)