BRADFORD ARMANDE PETTAWAY
NPI 1124605340
Home Health Aide in Saraland, AL

Q: What is Bradford Pettaway's NPI number?

The NPI number for Bradford Pettaway is 1124605340. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Q: What is Bradford Pettaway's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

Q: When was this NPI record last updated?

The NPPES record for Bradford Pettaway was last updated on March 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 24, 2021

720 DOBY LN, SARALAND, AL 36571(251) 327-9946(251) 675-1749 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Bradford Armande Pettaway NPPES

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

BRADFORD ARMANDE PETTAWAY (NPI 1124605340) is an individual home health aide in Saraland, Alabama and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1124605340

Entity TypeIndividualMale

Primary Taxonomy374U00000X

Provider Legal NameBRADFORD ARMANDE PETTAWAY

Location Address720 DOBY LNSaraland, AL 36571-2340

Mailing Address720 Doby LnSaraland, AL 36571-2340 · (251) 327-9946

Phone(251) 327-9946

Fax(251) 675-1749

Sole ProprietorYes

Enumeration DateMarch 24, 2021

NPPES CertifiedMarch 24, 2021

✔ NPI 1124605340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome Health AideNursing Service Related Providers

Taxonomy Code374U00000X

Definition

A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

720 DOBY LN, Saraland, AL 36571

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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 Bradford Pettaway's NPI number?

The NPI number for Bradford Pettaway is 1124605340. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Where is Bradford Pettaway located?

Bradford Pettaway practices at 720 Doby Ln, Saraland, AL 36571. The listed phone number is (251) 327-9946.

What is Bradford Pettaway's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Bradford Pettaway was last updated on March 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.