BRADFORD HARRIS MD
NPI 1245320969
Pediatrics - Pediatric Critical Care Medicine in Baltimore, MD

Q: What is Bradford Harris's NPI number?

The NPI number for Bradford Harris is 1245320969. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Q: What is Bradford Harris's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Bradford Harris was last updated on June 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 October 13, 2006PECOS EnrolledAccepts Medicare Assignment

1708 W ROGERS AVE, BALTIMORE, MD 21209(410) 578-5334 Get Directions Write a Review

NPPES record last updated: June 3, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Bradford Harris Md NPPES

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

BRADFORD HARRIS MD (NPI 1245320969) is an individual pediatric critical care medicine provider in Baltimore, Maryland, licensed in North Carolina (2001-01555) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (1990).

NPPES Registry Identity

NPI1245320969

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameBRADFORD HARRISCredential: MD

Location Address1708 W ROGERS AVEBaltimore, MD 21209-4545

Mailing Address1708 W Rogers AveBaltimore, MD 21209-4545 · (410) 578-8600

Phone(410) 578-5334

Sole ProprietorNo

Medical School CMSBoston University School Of MedicineGraduated 1990

Enumeration DateOctober 13, 2006

Last NPPES UpdateJune 3, 2016

✔ NPI 1245320969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in NC · 2001-01555

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

1708 W ROGERS AVE, Baltimore, MD 21209

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Other Identifiers 1

Medicaid801211301MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bradford Harris Md 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 ID7416146139

PECOS Enrollment IDI20160811000493

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.

Other Providers at the Same Location NPPES 20

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

MS. SUSAN KAY DUBROFF P.T.

Physical Therapist (Pediatrics)