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

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: October 18, 2026.

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 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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

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

Bucksport Regional Health Center
17 mi
Federally Qualified Health Center (FQHC)
110 BROADWAY
Bucksport, ME 04416
  • Reassigned Medicare billing, Maine enrollment
  • 40 clinicians in this Medicare group
NPI 1043271133 (207) 469-7371
Mainegeneral Medical Center
57 mi
General Acute Care Hospital
35 MEDICAL CENTER PARKWAY
Augusta, ME 04330
  • Reassigned Medicare billing, Maine enrollment
  • 978 clinicians in this Medicare group
NPI 1083949184 (207) 872-4454

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

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
925 UNION ST STE 3
BANGOR, ME 04401
Penobscot County (207) 973-9980
DR. MEGAN JULIA RICHARDS MD
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
925 UNION ST STE 3
BANGOR, ME 04401
Penobscot County (207) 973-9980
LUCAS C BARTLETT ATC
Specialist/Technologist (Athletic Trainer)
925 UNION ST STE 3
BANGOR, ME 04401
Penobscot County (207) 973-8839
AMY CURRY ATC
Specialist/Technologist (Athletic Trainer)
925 UNION ST STE 3
BANGOR, ME 04401
Penobscot County (207) 973-9980
SAMUEL RICHARD FORD
Physician Assistant (Surgical)
925 UNION ST STE 3
BANGOR, ME 04401
Penobscot County (207) 973-9980
STEPHEN R THOMPSON MD, MED, FRCSC
Orthopaedic Surgery (Sports Medicine)
925 UNION ST STE 3
BANGOR, ME 04401
Penobscot County (207) 973-9980
OLIVIA RENEE GAUTHIER
Physician Assistant
925 UNION ST STE 3
BANGOR, ME 04401
Penobscot County (207) 973-9980
SARA PACKARD ATC
Specialist/Technologist (Athletic Trainer)
925 UNION ST STE 3
BANGOR, ME 04401
Penobscot County (207) 973-8839

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 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.

Where is John Bradford located?

John Bradford practices at 925 Union St Ste 3, Bangor, ME 04401. The listed phone number is (207) 973-9980.

What is John Bradford's specialty?

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

Is John Bradford enrolled in Medicare?

Yes. John Bradford 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 organizations bill Medicare for John Bradford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Bradford reassigns Medicare benefits to 2 organizations: Bucksport Regional Health Center (Bucksport, ME) and Mainegeneral Medical Center (Augusta, ME). Each 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 John Bradford'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 John Bradford was last updated on January 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.