DE'SHAURIS NELSON BRADFORD M.D.
NPI 1942688841
Emergency Medicine in Port Jefferson, NY
About De'shauris Nelson Bradford M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DE'SHAURIS NELSON BRADFORD M.D. (NPI 1942688841) is an individual emergency medicine provider in Port Jefferson, New York, licensed in Louisiana (310770) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with St Francis Medical Center, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
De'shauris Nelson Bradford M.d. 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.
Medicare Billing Reassignments
9Medicare enrollment records show De'shauris Bradford reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Winnsboro, LA 71295
- Reassigned Medicare billing, Louisiana enrollment
- 21 clinicians in this Medicare group
Winnsboro, LA 71295
- Reassigned Medicare billing, Louisiana enrollment
- 144 clinicians in this Medicare group
Monroe, LA 71201
- Reassigned Medicare billing, Louisiana enrollment
- 67 clinicians in this Medicare group
Chalmette, LA 70043
- Reassigned Medicare billing, Louisiana enrollment
- 82 clinicians in this Medicare group
Olla, LA 71465
- Reassigned Medicare billing, Louisiana enrollment
- Medicare enrollment name: Lasalle Parish Hospital Service Dist No1
- 75 clinicians in this Medicare group
Opelousas, LA 70570
- Reassigned Medicare billing, Louisiana enrollment
- 55 clinicians in this Medicare group
Pasadena, TX 77505
- Reassigned Medicare billing, Texas enrollment
- 644 clinicians in this Medicare group
Lubbock, TX 79401
- Reassigned Medicare billing, Louisiana enrollment
- 122 clinicians in this Medicare group
Lubbock, TX 79401
- Reassigned Medicare billing, Louisiana enrollment
- 214 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Francis Medical Center
Acute Care Hospitals · Monroe, LASt Bernard Parish Hospital
Acute Care Hospitals · Chalmette, LAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11777 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORT JEFFERSON, NY 11777
PORT JEFFERSON, NY 11777
PORT JEFFERSON, NY 11777
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 De'shauris Bradford's NPI number?
The NPI number for De'shauris Bradford is 1942688841. It was assigned to this individual provider in the NPPES registry on May 11, 2015.
Where is De'shauris Bradford located?
De'shauris Bradford practices at 75 N Country Rd, Port Jefferson, NY 11777. The listed phone number is (631) 686-2549.
What is De'shauris Bradford's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is De'shauris Bradford enrolled in Medicare?
Yes. De'shauris 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.
Which organizations bill Medicare for De'shauris Bradford's services?
According to the CMS Revalidation Reassignment List (October 2026 release), De'shauris Bradford reassigns Medicare benefits to 9 organizations: Island Medical Winnsboro LLC (Winnsboro, LA), Franklin Parish Hospital Service Dist 1 (Winnsboro, LA), Monroe Emergency Physicians LLC (Monroe, LA), St. Bernard Emergency Group, LLC (Chalmette, LA), Lasalle Parish Hospital Service District #1 (Olla, LA) and 4 more organizations, listed in the Medicare section above. Each 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 De'shauris Bradford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does De'shauris Bradford accept?
Health plans from Blue Cross and Blue Shield of Texas and HMO Louisiana list De'shauris 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.
Is De'shauris Bradford affiliated with any hospitals?
According to CMS data, De'shauris Bradford is affiliated with St Francis Medical Center and St Bernard Parish Hospital.
When was this NPI record last updated?
The NPPES record for De'shauris Bradford was last updated on April 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# De'shauris Nelson Bradford, M.D. · NPI 1942688841
Emergency Medicine physician in Port Jefferson, New York. Individual provider, active in the CMS NPPES registry since May 11, 2015.
## Identity
- **NPI:** 1942688841 (Entity type: Individual)
- **Enumerated:** May 11, 2015
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 310770 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 75 N COUNTRY RD, Port Jefferson, NY 11777-2119
- **Phone:** (631) 686-2549 · **Fax:** (631) 686-7651
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Island Medical Winnsboro LLC (NPI 1538515135, Winnsboro, LA); Franklin Parish Hospital Service Dist 1 (NPI 1619143120, Winnsboro, LA); Monroe Emergency Physicians LLC (NPI 1386235331, Monroe, LA); St. Bernard Emergency Group, LLC (NPI 1306386685, Chalmette, LA); Lasalle Parish Hospital Service District #1 (NPI 1053415745, Olla, LA); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** April 20, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1942688841) · Data from the CMS NPPES public registry.