EMILY RUTH BRADFORD-LEWIS FNP
NPI 1205958840
Nurse Practitioner - Family in San Bernardino, CA
About Emily Ruth Bradford-lewis Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EMILY RUTH BRADFORD-LEWIS FNP (NPI 1205958840) is an individual family provider in San Bernardino, California, licensed in Virginia (0024166603) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Emily Ruth Bradford-lewis Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Emily Bradford-lewis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Bernardino, CA 92404
- Reassigned Medicare billing, California enrollment
- 2 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN BERNARDINO, CA 92404
SAN BERNARDINO, CA 92404
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 Emily Bradford-lewis's NPI number?
The NPI number for Emily Bradford-lewis is 1205958840. It was assigned to this individual provider in the NPPES registry on April 4, 2007.
Where is Emily Bradford-lewis located?
Emily Bradford-lewis practices at 355 E 21st St Ste H, San Bernardino, CA 92404. The listed phone number is (909) 886-2609.
What is Emily Bradford-lewis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Emily Bradford-lewis enrolled in Medicare?
Yes. Emily Bradford-lewis is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Emily Bradford-lewis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Emily Bradford-lewis reassigns Medicare benefits to J Robert Evans MD PC (San Bernardino, CA). 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 Emily Bradford-lewis'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 Emily Bradford-lewis was last updated on January 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Emily Ruth Bradford-Lewis, FNP · NPI 1205958840
Family physician in San Bernardino, California. Individual provider, active in the CMS NPPES registry since April 4, 2007.
## Identity
- **NPI:** 1205958840 (Entity type: Individual)
- **Enumerated:** April 4, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 0024166603 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 355 E 21ST ST, STE H, San Bernardino, CA 92404-4851
- **Phone:** (909) 886-2609 · **Fax:** (909) 886-0328
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** J Robert Evans MD PC (NPI 1568928588, San Bernardino, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 2, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1205958840) · Data from the CMS NPPES public registry.