CASSANDRA BRADFORD
NPI 1295233179
Nurse Practitioner - Adult Health in Syracuse, NY

Q: What is Cassandra Bradford's NPI number?

The NPI number for Cassandra Bradford is 1295233179. It was assigned to this individual provider in the NPPES registry on January 25, 2018.

Q: What is Cassandra Bradford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: Is Cassandra Bradford enrolled in Medicare?

No. Cassandra Bradford has opted out of Medicare through March 25, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since January 25, 2018Opted out of Medicare · through Mar 25, 2027

750 E ADAMS ST, SYRACUSE, NY 13210(315) 464-2500 Get Directions Write a Review

NPPES record last updated: January 31, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 31, 2019, Jan 24, 2019, Sep 28, 2018 (3 updates tracked since 2018).

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About Cassandra Bradford NPPES

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

CASSANDRA BRADFORD (NPI 1295233179) is an individual adult health provider in Syracuse, New York, licensed in New York (308424) and active in the NPI registry since January 2018. She has opted out of Medicare through March 25, 2027.

NPPES Registry Identity

NPI1295233179

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameCASSANDRA BRADFORD

Location Address750 E ADAMS STSyracuse, NY 13210-2306

Mailing Address8049 Candela LaneClay, NY 13041 · (315) 876-6740

Phone(315) 464-2500

Sole ProprietorYes

Enumeration DateJanuary 25, 2018

Last NPPES UpdateJanuary 31, 20193 updates tracked since enumeration

✔ NPI 1295233179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · 308424

750 E ADAMS ST, Syracuse, NY 13210

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Cassandra Bradford has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 25, 2025 through March 25, 2027.

Opt-Out Effective DateMarch 25, 2025

Opt-Out In Effect ThroughMarch 25, 2027Opt-out affidavits renew automatically every two years unless cancelled

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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.

DAVID M KANTER MD

Physical Medicine & Rehabilitation