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BRADFORD FAMILY MEDICINE, INC.
NPI 1245272525
Family Medicine in Bradford, PA

Active since June 12, 2006CLIA 39D1024479 · Microscopy
14 N 3RD ST, BRADFORD, PA 16701(814) 362-6962(814) 362-4956 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bradford Family Medicine, Inc. NPPES

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

BRADFORD FAMILY MEDICINE, INC. (NPI 1245272525) is a healthcare organization registered as a family medicine in Bradford, Pennsylvania and active in the NPI registry since June 2006. The organization holds a CLIA Microscopy certificate valid through April 12, 2028 and lists Jill M. Owens, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1245272525
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBRADFORD FAMILY MEDICINE, INC.
Location Address14 N 3RD STBradford, PA 16701-3335
Mailing Address14 N 3rd StBradford, PA 16701-3335 · (814) 362-6962 · Fax (814) 362-4956
Phone(814) 362-6962
Fax(814) 362-4956
Organization SubpartNo
Authorized OfficialJill M. OwensPresident And Ceo · (814) 362-6962
Enumeration DateJune 12, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1245272525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD-068703-L
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
14 N 3RD ST, Bradford, PA 16701
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bradford Family Medicine, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StatePennsylvaniaEnrollment IDO20040204000763Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Bradford Family Medicine, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Alisa Fishkin
Nurse Practitioner
NPI 1205653276
14 N 3RD ST
Bradford, PA 16701
(814) 362-6962
✔ PECOS✔ Accepts MedicareSame address
Jill Owens, M.D.
Family Practice
NPI 1104862440
14 N 3RD ST
Bradford, PA 16701
(814) 362-6962
✔ PECOS✔ Accepts Medicare0.2 mi
Katherine Gleason, CNM
Certified Nurse Midwife (CNM)
NPI 1316323512
195 PLEASANT ST UNIT 2
Bradford, PA 16701
(814) 363-2760
✔ PECOS✔ Accepts Medicare2.7 mi
Deanna Getz, NP
Nurse Practitioner
NPI 1922850767
58 FREEMAN HOLW
Lewis Run, PA 16738
(814) 558-0613
✔ PECOS11 mi
Kamrie Costello, FNP-C
Nurse Practitioner
NPI 1407378383
535 MAIN ST STE 1
Olean, NY 14760
(716) 372-0141
✔ PECOS✔ Accepts Medicare12 mi
Caitlin Szczupak, MD
Family Practice
NPI 1396300026
ALTOONA FAMILY PHYSICIANS 501 HOWARD AVENUE SUITE F2
Altoona, PA 16601
(814) 889-2020
✔ PECOS✔ Accepts Medicare101 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 39D1024479

Bradford Family Medicine Inc · Bradford, PA
Active · expires Apr 12, 2028
CLIA Number39D1024479
Laboratory TypePhysician Office
Certificate Effective DateApril 13, 2026
Certificate Expiration DateApril 12, 2028
Laboratory DirectorJill M. Owens MD
Laboratory Phone(814) 362-6962
Laboratory LocationBradford Family Medicine Inc14 North Third Street, Bradford, PA 16701
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Family Medicine, Inc.'s NPI number?

The NPI number for Bradford Family Medicine, Inc. is 1245272525. It was assigned to this organization in the NPPES registry on June 12, 2006.

Where is Bradford Family Medicine, Inc. located?

Bradford Family Medicine, Inc. is located at 14 N 3rd St, Bradford, PA 16701. The listed phone number is (814) 362-6962.

What is Bradford Family Medicine, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Bradford Family Medicine, Inc. enrolled in Medicare?

Yes. Bradford Family Medicine, Inc. is registered in the Medicare PECOS enrollment system.

When is Bradford Family Medicine, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Pennsylvania, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Bradford Family Medicine, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Bradford Family Medicine, Inc.. A 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 the clinician's services. The largest specialties are Nurse Practitioner (3), Family Practice (2) and Certified Nurse Midwife (CNM) (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bradford Family Medicine, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 39D1024479) is associated with this NPI, valid through April 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bradford Family Medicine, Inc. was last updated on August 22, 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.