EMMA ELISE BRADFORD DPT
NPI 1104707850
Physical Therapist - Pediatrics in Durham, NC

Active since September 09, 2025
4709 CREEKSTONE DR STE 250, DURHAM, NC 27703(919) 684-3730 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Emma Elise Bradford Dpt NPPES

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

EMMA ELISE BRADFORD DPT (NPI 1104707850) is an individual pediatrics provider in Durham, North Carolina, licensed in North Carolina (P24321) and active in the NPI registry since September 2025. She is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2025).

NPPES Registry Identity

NPI1104707850
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameEMMA ELISE BRADFORDCredential: DPT
Location Address4709 CREEKSTONE DR STE 250Durham, NC 27703-0016
Mailing Address4709 Creekstone Dr Ste 250Durham, NC 27703-0016
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2025
Enumeration DateSeptember 9, 2025
NPPES CertifiedSeptember 9, 2025
✔ NPI 1104707850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in NC · P24321
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
4709 CREEKSTONE DR STE 250, Durham, NC 27703

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emma Elise Bradford Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618463761
PECOS Enrollment IDI20251229001824

Medicare Billing Reassignment

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

Social Worker
2213 ELBA ST
Durham, NC 27705
  • Reassigned Medicare billing, North Carolina enrollment
  • Also billed through NPI 1558392977 (North Carolina)
  • 1,503 clinicians in this Medicare group

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

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

Physical Therapist
4709 CREEKSTONE DR STE 250
DURHAM, NC 27703

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 Emma Bradford's NPI number?

The NPI number for Emma Bradford is 1104707850. It was assigned to this individual provider in the NPPES registry on September 9, 2025.

Where is Emma Bradford located?

Emma Bradford practices at 4709 Creekstone Dr Ste 250, Durham, NC 27703. The listed phone number is (919) 684-3730.

What is Emma Bradford's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Is Emma Bradford enrolled in Medicare?

Yes. Emma Bradford is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Emma Bradford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emma Bradford reassigns Medicare benefits to Duke University Health System, Inc. (Durham, NC). 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 Emma 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 Emma Bradford was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.