DR. NINA GRACE BRADLEY D.O.
NPI 1750692422
Psychiatry & Neurology - Neurology in Fort Myers, FL

Q: What is Nina Bradley's NPI number?

The NPI number for Nina Bradley is 1750692422. It was assigned to this individual provider in the NPPES registry on June 28, 2010. The provider is also known as Dr. Nina Grace Pabello D.O..

Q: What is Nina Bradley's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Nina Bradley was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since June 28, 2010PECOS EnrolledAccepts Medicare Assignment

11215 METRO PKWY STE 1, FORT MYERS, FL 33966(239) 208-2212(239) 208-3994 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 13, 2025, Aug 29, 2023, Jan 3, 2023 and 8 more (11 updates tracked since 2016).

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About Dr. Nina Grace Bradley D.o. NPPES

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

DR. NINA GRACE BRADLEY D.O. (NPI 1750692422) is an individual neurology provider in Fort Myers, Florida, licensed in Florida (OS15212) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Naples Community Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1750692422

Entity TypeIndividualFemale

Primary Taxonomy2084N0400X

Provider Legal NameDR. NINA GRACE BRADLEYCredential: D.O.

Location Address11215 METRO PKWY STE 1Fort Myers, FL 33966-1206

Mailing Address11215 Metro Pkwy Ste 1Fort Myers, FL 33966-1206 · (239) 208-2212

Phone(239) 208-2212

Fax(239) 208-3994

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJune 28, 2010

Last NPPES UpdateJune 13, 202511 updates tracked since enumeration

NPPES CertifiedJune 13, 2025

✔ NPI 1750692422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Licenses✔ Licensed in FL · OS15212✔ Licensed in GA · 87299✔ Licensed in NH · 21512✔ Licensed in OR · DO197423✔ Licensed in MO · 2020010467✔ Licensed in PA · OS020888

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedHospitalistTaxonomy 208M00000X · License OS15212 (FL)

11215 METRO PKWY STE 1, Fort Myers, FL 33966

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Other Names 1

Former Name (1)Dr. Nina Grace Pabello D.o.

Secondary Practice Locations 4

Location 11250 S Cedar Crest Blvd Ste 405Allentown, PA 18103-6224 · Phone (610) 402-8420

Location 22801 N Gantenbein AvePortland, OR 97227-1623 · Phone (503) 413-3275

Location 31968 Peachtree Rd NWAtlanta, GA 30309-1281 · Phone (404) 788-1010

Location 42790 Clay Edwards Dr Ste 1235North Kansas City, MO 64116-3276 · Phone (816) 472-5157 · Fax (816) 472-7201

Other Identifiers 1

Medicaid03999406NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, AvMed 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

Dr. Nina Grace Bradley D.o. 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 ID6709025505

PECOS Enrollment IDI20141027001235, I20180606002640, I20210609002590, I20210630001876, I20220912003516, I20230905000674

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth G0425

A telehealth consultation is a remote medical service where a doctor assesses your health condition through a video call. In an emergency or initial inpatient scenario, this typically lasts for about 30 minutes. This method allows for prompt, efficient care without needing to be physically present in a healthcare facility.

32 services32 patients

Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth G0425

12 services12 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Naples Community Hospital

Acute Care Hospitals · Naples, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100018

Location350 7th St NNaples, FL 34102 · Collier County

Emergency services Birthing friendly

St Josephs Hospital

Acute Care Hospitals · Tampa, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100075

Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County

Emergency services Birthing friendly

Morton Plant Hospital

Acute Care Hospitals · Clearwater, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100127

Location300 Pinellas StClearwater, FL 33756 · Pinellas County

Emergency services Birthing friendly

Mease Countryside Hospital

Acute Care Hospitals · Safety Harbor, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100265

Location3231 Mcmullen Booth RdSafety Harbor, FL 34695 · Pinellas County

Emergency services Birthing friendly

Christus St Vincent Regional Medical Center

Acute Care Hospitals · Santa Fe, NM

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number320002

Location455 St Michael's DriveSanta Fe, NM 87505 · Santa Fe County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33966 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

$135.56 typical visit price

range $58.56 – $179.05

Typical copayment $33.89 (range $14.64 – $44.76)

Most-billed visit code 99204

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

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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.

STANLEY GARKEN LUE MD

Psychiatry & Neurology (Neurology)