DR. JOHN ADDITON BRADFORD M.D.
NPI 1093791964
Specialist in Bangor, ME

Q: What is John Bradford's NPI number?

The NPI number for John Bradford is 1093791964. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Q: What is John Bradford's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for John Bradford was last updated on January 29, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 21, 2005PECOS EnrolledAccepts Medicare Assignment

925 UNION ST STE 3, BANGOR, ME 04401(207) 973-9980(207) 973-7515 Get Directions Write a Review

NPPES record last updated: January 29, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. John Additon Bradford M.d. NPPES

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

DR. JOHN ADDITON BRADFORD M.D. (NPI 1093791964) is an individual specialist in Bangor, Maine, licensed in Maine (011526) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Waldo County General Hospital, and is a graduate of Medical College Of Wisconsin (1978).

NPPES Registry Identity

NPI1093791964

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. JOHN ADDITON BRADFORDCredential: M.D.

Location Address925 UNION ST STE 3Bangor, ME 04401-3051

Mailing Address43 Whiting Hill Rd Ste 300Brewer, ME 04412-1006 · (207) 973-5035 · Fax (207) 973-5042

Phone(207) 973-9980

Fax(207) 973-7515

Sole ProprietorNo

Medical School CMSMedical College Of WisconsinGraduated 1978

Enumeration DateDecember 21, 2005

Last NPPES UpdateJanuary 29, 2014

✔ NPI 1093791964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in ME · 011526

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

925 UNION ST STE 3, Bangor, ME 04401

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Other Identifiers 9

Other1044474ME · Aetna

Medicare UPIND03693ME

Medicare ID-Type Unspecified015547ME

Other100289800ME · Us Dept Of Labor

OtherM57740ME · Cigna

OtherD03693ME · Harvard Pilgrim

Medicaid116170000ME

Other002921ME · Blues

Other200002275ME · Medicare Railroad

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. John Additon Bradford M.d. 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 ID2466458682

PECOS Enrollment IDI20061011000623

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Waldo County General Hospital

Critical Access Hospitals · Belfast, ME

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number201312

Location118 Northport AveBelfast, ME 04915 · Waldo County

Emergency services Birthing friendly

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Other Providers at the Same Location NPPES 13

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

CARMEN DENISE CROFOOT MD

Orthopaedic Surgery