AUDREY ELISE BRADFORD
NPI 1578415089
Physician Assistant in Fort Wayne, IN
About Audrey Elise Bradford NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUDREY ELISE BRADFORD (NPI 1578415089) is an individual physician assistant in Fort Wayne, Indiana, licensed in Indiana (10005240A) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Audrey Elise Bradford 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46802 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Audrey Bradford's NPI number?
The NPI number for Audrey Bradford is 1578415089. It was assigned to this individual provider in the NPPES registry on February 10, 2026.
Where is Audrey Bradford located?
Audrey Bradford practices at 1660 Broadway Ste 165, Fort Wayne, IN 46802. The listed phone number is (260) 266-9805.
What is Audrey Bradford's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Audrey Bradford enrolled in Medicare?
Yes. Audrey Bradford 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 Audrey Bradford accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Audrey Bradford 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 Audrey Bradford was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Audrey Elise Bradford · NPI 1578415089
Physician Assistant physician in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since February 10, 2026.
## Identity
- **NPI:** 1578415089 (Entity type: Individual)
- **Enumerated:** February 10, 2026
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 10005240A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1660 BROADWAY STE 165, Fort Wayne, IN 46802-0011
- **Phone:** (260) 266-9805 · **Fax:** (260) 266-9815
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** July 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1578415089) · Data from the CMS NPPES public registry.