Regina Breanna Bradberry, LPN is a
Licensed Practical Nurse based in Landis, North Carolina. Regina Breanna Bradberry is licensed to practice in North Carolina (license number 90141) and her current practice location is
500 N Central Ave, Landis, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(704) 918-5671.
NPI number for Regina Breanna Bradberry is 1831842178 and her current mailing address is 349 Cooperfield Blvd Ste L, # 389, Concord, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831842178.
Provider's Profile
| Full Name | Regina Breanna Bradberry |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 500 N Central Ave, Landis, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1831842178
- Provider Enumeration Date: 01/27/2022
- Last Update Date: 01/27/2022
Medical Identifiers
Medical identifiers for Regina Breanna Bradberry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831842178 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 90141 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Regina Breanna Bradberry is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Regina Breanna Bradberry, LPN
349 Cooperfield Blvd Ste L, # 389,
Concord, NC 28025
Ph: (704) 918-5671 | Regina Breanna Bradberry, LPN
500 N Central Ave,
Landis, NC 28088-1117
Ph: (704) 918-5671 |
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