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MRS. KIMBERLY L. BRADLEY APRN, FNP-BC
NPI 1265939185
Nurse Practitioner - Family in Portland, OR

Active since April 08, 2018PECOS EnrolledAccepts Medicare Assignment
1340 SW BERTHA BLVD STE 103, PORTLAND, OR 97219(888) 984-7277(833) 989-2307 Get Directions Write a Review

NPPES record last updated: December 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 6, 2022, Jul 6, 2021, Jan 19, 2021 and 7 more (10 updates tracked since 2018).

About Mrs. Kimberly L. Bradley Aprn, Fnp-bc NPPES

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

MRS. KIMBERLY L. BRADLEY APRN, FNP-BC (NPI 1265939185) is an individual family provider in Portland, Oregon, licensed in Oregon (201807766NP) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1265939185
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KIMBERLY L. BRADLEYCredential: APRN, FNP-BC
Location Address1340 SW BERTHA BLVD STE 103Portland, OR 97219-2096
Mailing Address1340 Sw Bertha Blvd Ste 103Portland, OR 97219-2096 · (888) 984-7277 · Fax (833) 989-2307
Phone(888) 984-7277
Fax(833) 989-2307
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateApril 8, 2018
Last NPPES UpdateDecember 30, 202310 updates tracked since enumeration
NPPES CertifiedDecember 30, 2023
✔ NPI 1265939185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OR · 201807766NP
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X · License 201807766NP (OR)
Also ListedNurse Practitioner · Community HealthTaxonomy 363LC1500X · License 95010714 (CA)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 201807766NP (OR), 95010714 (CA)
1340 SW BERTHA BLVD STE 103, Portland, OR 97219
Open in Google Maps ↗

Secondary Practice Locations 4

Location 15329 NE Martin Luther King BlvdPortland, OR 97211-3237 · Phone (503) 988-5183
Location 29975 SW Frewing StTigard, OR 97223-5091 · Phone (503) 894-9005 · Fax (503) 719-4178
Location 317022 SW Pacific Hwy Apt 210Tigard, OR 97224-3400 · Phone (833) 425-6678 ext. 3
Location 4135 NE 102nd AvePortland, OR 97220-4167 · Phone (503) 894-9005 · Fax (503) 719-4178

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

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

Mrs. Kimberly L. Bradley Aprn, Fnp-bc 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 ID2365775988
PECOS Enrollment IDI20190612003241, I20250211001367
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97219 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

G&H HEALTHCARE INC
Nurse Practitioner (Primary Care)
1340 SW BERTHA BLVD STE 103
PORTLAND, OR 97219
Multnomah County (888) 984-7277

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 Kimberly Bradley's NPI number?

The NPI number for Kimberly Bradley is 1265939185. It was assigned to this individual provider in the NPPES registry on April 8, 2018.

Where is Kimberly Bradley located?

Kimberly Bradley practices at 1340 SW Bertha Blvd Ste 103, Portland, OR 97219. The listed phone number is (888) 984-7277.

What is Kimberly Bradley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kimberly Bradley enrolled in Medicare?

Yes. Kimberly Bradley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kimberly Bradley accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kimberly Bradley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Bradley was last updated on December 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.