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

Individual provider Family Nurse Practitioner · NPI 1366177677

Jeffrey Bradford, DNP-FNP is a Nurse Practitioner in Baltimore, Maryland. Qualified in 2022, 4 years ago. Practices with Mnr Industries, LLC, a 143-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
4
Licensed in
MD
In the registry since
2022
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Practice location Address checks out

4409 Walther Ave
Baltimore, MD 21214-3300
Phone: (443) 280-4397
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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 R217930 (MD)

Record details

NPI number1366177677
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP-FNP
Sole proprietorNo
NPI enumeratedJuly 20, 2022
Last updated in NPPESAugust 8, 2024
Certification dateJuly 20, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Mnr Industries, Llc — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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