BRADFORD FAMILY HEALTHCARE PC
NPI 1407284532
Clinic/Center - Health Service in Scottsboro, AL

Active since October 29, 2013CLIA 01D1056642 · Waiver
508 HARLEY ST, SUITE D, SCOTTSBORO, AL 35768(256) 259-6054(256) 259-5206 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Bradford Family Healthcare Pc NPPES

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

BRADFORD FAMILY HEALTHCARE PC (NPI 1407284532) is a healthcare organization registered as a health service in Scottsboro, Alabama and active in the NPI registry since October 2013. The organization holds a CLIA Waiver certificate valid through July 19, 2028 and lists Charles Raymond Bradford, President, as its authorized official.

NPPES Registry Identity

NPI1407284532
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameBRADFORD FAMILY HEALTHCARE PC
Location Address508 HARLEY ST, SUITE DScottsboro, AL 35768-4294
Mailing Address508 Harley St, Suite DScottsboro, AL 35768-4294 · (256) 259-6054 · Fax (256) 259-5206
Fax(256) 259-5206
Organization SubpartNo
Authorized OfficialCharles Raymond BradfordPresident · (256) 647-3276
Enumeration DateOctober 29, 2013
Last NPPES UpdateApril 19, 2022
NPPES CertifiedApril 19, 2022
✔ NPI 1407284532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License✔ Licensed in AL · 00026295
508 HARLEY ST, Scottsboro, AL 35768

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Bradford Family Healthcare PC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Family Practice
NPI 1427085133
508 HARLEY ST SUITE B
Scottsboro, AL 35768
(256) 259-0734
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1700805082
508 HARLEY ST SUITE D
Scottsboro, AL 35768
(256) 259-6054
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1861926842
508 HARLEY ST STE D
Scottsboro, AL 35768
(256) 259-6054
✔ PECOSSame address
Nurse Practitioner
NPI 1902205883
508 HARLEY ST SUITE D
Scottsboro, AL 35768
(256) 575-9044
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1124548011
412 W CLOVERDALE RD
Scottsboro, AL 35768
(256) 259-1505
✔ PECOS✔ Accepts Medicare0.2 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 of Waiver 01D1056642

Bradford Family Healthcare PC · Scottsboro, AL
Active · expires Jul 19, 2028
CLIA Number01D1056642
Laboratory TypePhysician Office
Certificate Effective DateJuly 20, 2026
Certificate Expiration DateJuly 19, 2028
Laboratory DirectorDr. Charles R. Bradford IV MD
Laboratory Phone(256) 259-6054
Laboratory LocationBradford Family Healthcare PC510 E Laurel Street Suite 202, Scottsboro, AL 35768
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only 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 Healthcare PC's NPI number?

The NPI number for Bradford Family Healthcare PC is 1407284532. It was assigned to this organization in the NPPES registry on October 29, 2013.

Where is Bradford Family Healthcare PC located?

Bradford Family Healthcare PC is located at 508 Harley St Suite D, Scottsboro, AL 35768. The listed phone number is (256) 259-6054.

What is Bradford Family Healthcare PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is Bradford Family Healthcare PC enrolled in Medicare?

Yes. Bradford Family Healthcare PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bradford Family Healthcare PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Bradford Family Healthcare PC. 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) and Family Practice (2). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bradford Family Healthcare PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D1056642) is associated with this NPI, valid through July 19, 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 Healthcare PC was last updated on April 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.