| Ms Kimberly Ross Foncham Bradley, ARNP | |
|
2940 S Us Highway 1, Ste C11, Fort Pierce, FL 34982-8143 | |
| (772) 466-6855 | |
| (772) 464-4963 |
| Full Name | Ms Kimberly Ross Foncham Bradley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 2940 S Us Highway 1, Fort Pierce, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750773255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 9187855 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | ARNP 9187855 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cleveland Clinic Indian River Hospital | Vero beach, FL | Hospital |
| Willowbrooke Court At Indian River Estates | Vero beach, FL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Indian River Health Services Inc | 9234130329 | 291 |
| Entity Name | Inpatient Consultants Of Florida, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396795597 PECOS PAC ID: 4789614785 Enrollment ID: O20050819000018 |
| Entity Name | Indian River Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710933031 PECOS PAC ID: 9234130329 Enrollment ID: O20070116000060 |
| Entity Name | First Choice Healthcare And Counseling, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427432715 PECOS PAC ID: 9133429582 Enrollment ID: O20151208000804 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kimberly Ross Foncham Bradley, ARNP 2940 S Us Highway 1, Ste C11, Fort Pierce, FL 34982-8143 Ph: (772) 466-6855 | Ms Kimberly Ross Foncham Bradley, ARNP 2940 S Us Highway 1, Ste C11, Fort Pierce, FL 34982-8143 Ph: (772) 466-6855 |
Ms. Kelli Kraaz, ARNP- FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3307 N Indian River Dr, Fort Pierce, FL 34946 Phone: 772-528-5991 | |
Arielle Tango, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2504 Acorn St Ste A, Fort Pierce, FL 34947 Phone: 772-837-7800 Fax: 772-837-7801 | |
Mrs. Denise Angele Joseph, A.R.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2401 Frist Blvd, Suite 3, Fort Pierce, FL 34950 Phone: 772-429-3400 Fax: 772-429-3410 | |
Ms. Nancy Lee Harris, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5600 N Us Highway 1 # Le214, Fort Pierce, FL 34946 Phone: 772-242-2420 | |
Tammy Mae Holmes, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1423 S Us Highway 1, Fort Pierce, FL 34950 Phone: 772-466-6855 Fax: 772-464-6983 | |
Natalie Gordon, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2401 Frist Blvd Ste 1, Fort Pierce, FL 34950 Phone: 772-464-0033 | |
Christine Palmer Monday, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 S 23rd St, Fort Pierce, FL 34950 Phone: 772-461-4000 |