Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bradley Fisher, FNP-C

Individual provider Family Nurse Practitioner · NPI 1033703749

Bradley Fisher, FNP-C is a Nurse Practitioner in Tyler, Texas. Qualified in 2020, 6 years ago. Practices with East Texas Functional Medicine Center, LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
6
Licensed in
TX
In the registry since
2021
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

419 Wsw Loop 323 Ste 400
Tyler, TX 75701-7063
Phone: (903) 595-8077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1030649 (TX)

Record details

NPI number1033703749
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedFebruary 23, 2021
Last updated in NPPESFebruary 23, 2021
Certification dateFebruary 23, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice East Texas Functional Medicine Center, Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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