Active NPIIndividual provider

Ms. Jennifer S Bradford, MD

Family Medicine, Addiction Medicine in Worcester, Massachusetts

NPI Number1619292976
Practice location
55 Lake Ave N, Worcester, MA 01655-0002
Fax
774-441-7799
Last updated
February 10, 2025

Jennifer Sharone Bradford is a Family Medicine, Addiction Medicine based in Worcester, MA. Jennifer Sharone Bradford practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Jennifer Sharone Bradford is 1619292976 and holds a License No. 254866 (MA). The current practice location address for Jennifer Sharone Bradford is 55 Lake Ave N, Worcester, MA 01655-0002 and can be reached out via phone at 508-334-2818 and via fax at 774-441-7799.

Provider Profile Details

NPI Number
1619292976
Provider Name
Jennifer Sharone Bradford
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
55 Lake Ave N, Worcester, MA 01655-0002
Phone Number
508-334-2818
Fax Number
774-441-7799
Primary Taxonomy
Family Medicine, Addiction Medicine · 207QA0401X
Sole Proprietor
No
Provider Enumeration Date
March 30, 2010
Last Update Date
February 10, 2025
Certification Date
February 10, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Lake Ave N
Worcester, MA 01655-0002
Zip
01655-0002
Phone Number
508-334-2818
Fax Number
774-441-7799
Worcester, MA 01655Get directions →

Provider Business Mailing Address Details

Address
Po Box 415348
Boston, MA 02241-5348
City
Boston
State
MA
Zip
02241-5348
Phone Number
800-225-8885
Fax Number
508-334-1977

License Information

License Number (1)
254866
License State (1)
MA
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
254866
License State (2)
MA
Taxonomy (2)
Family Medicine, Addiction Medicine · 207QA0401X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Family Medicine, Addiction Medicine providers near Worcester, MA

View all Family Medicine, Addiction Medicine providers in Worcester →

Frequently Asked Questions

What is the NPI number of Ms. Jennifer S Bradford, MD?

The NPI number of Ms. Jennifer S Bradford, MD is 1619292976. It was assigned on March 30, 2010 and is currently active in the NPPES registry.

What is the specialty of Ms. Jennifer S Bradford, MD?

Ms. Jennifer S Bradford, MD is registered under the primary taxonomy Family Medicine, Addiction Medicine (code 207QA0401X), licensed in MA under license number 254866.

Where does Ms. Jennifer S Bradford, MD practice?

The practice location is 55 Lake Ave N, Worcester, MA 01655-0002. The office can be reached at 508-334-2818 (phone) or 774-441-7799 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619292976 directly on the NPPES registry website.

Browse related providers