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

Charles Bradford, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1194281584

Charles Bradford, FNP-BC is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2017, 9 years ago. Practices with SSM Health Care Group, a 923-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
9
Licensed in
IL, MO
In the registry since
2019
Specialties on file
3
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

See every abbreviation used in this directory →

Practice location Address checks out

1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone: (314) 977-4440
Fax: (314) 977-3370
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1225 S Grand Blvd Fl 2, Saint Louis, MO 63104-1016 — (314) 977-8462

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2018033937 (MO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209.018613 (IL)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 2017037322 (MO)

Record details

NPI number1194281584
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedFebruary 11, 2019
Last updated in NPPESMarch 12, 2021
Certification dateMarch 12, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Ssm Health Care Group — 923 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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