BRADFORD FAMILY HEALTHCARE PC
NPI 1407284532
Clinic/Center - Health Service in Scottsboro, AL
- Organization
- Clinic/Center
- Health Service
- CLIA Number: 01D1056642
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-19-2026
About BRADFORD FAMILY HEALTHCARE PC
This page provides the complete NPI Profile along with additional information for Bradford Family Healthcare Pc, a provider established in Scottsboro, Alabama operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1407284532 assigned on October 2013. The practitioner's primary taxonomy code is 261QH0100X with license number 00026295 (AL). The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Dr. Charles Raymond Bradford Iv M.d. (President)
- NPI
- 1407284532 Verify this NPI
- Provider Name
- BRADFORD FAMILY HEALTHCARE PC
- Entity Type
- Organization
- Location Address
- 508 HARLEY ST SUITE D SCOTTSBORO, AL 35768
- Location Phone
- (256) 259-6054
- Location Fax
- (256) 259-5206
- Mailing Address
- 508 HARLEY ST SUITE D SCOTTSBORO, AL 35768
- Mailing Phone
- (256) 259-6054
- Mailing Fax
- (256) 259-5206
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-29-2013
- Last Update Date
- 04-19-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Health Service
- Taxonomy Code
- 261QH0100X
- Type
- Ambulatory Health Care Facilities
- License No.
- 00026295
- License State
- AL
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 01D1056642
- Facility Type
- Physician Office
- Certificate Effective Date
- July 20, 2024
- Certificate Expiration Date
- July 19, 2026
- Laboratory Director
- DR. CHARLES R. BRADFORD IV MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Bradford Family Healthcare Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407284532, enumerated as an "organization" on October 29, 2013.
The provider is located at 508 HARLEY ST SUITE D SCOTTSBORO, AL 35768 and the phone number is (256) 259-6054.
Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.
