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

Mr. Bradley James Wine, RN

Individual provider Medical-Surgical Registered Nurse · NPI 1013553650

Mr. Bradley James Wine, RN is a Medical-Surgical Registered Nurse in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2019
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

800 Prudential Dr
Jacksonville, FL 32207-8202
Phone: (904) 202-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical-Surgical Registered Nurse (primary) Taxonomy 163WM0705X · Licence RN9524431 (FL)

Record details

NPI number1013553650
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedNovember 19, 2019
Last updated in NPPESNovember 19, 2019
Mailing address1010 N 102nd St Ste 300, Omaha, NE 68114-2122

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