Kimberly R Foncham Bradley (NPI# 1750773255, PAC ID# 2860705548) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1750773255 |
| PAC ID by PECOS | 2860705548 |
| Professional Enrollment ID | I20150723009451 |
| Full Name | Kimberly R Foncham Bradley |
| Organization Legal Name | WELLMED MEDICAL MANAGEMENT OF FLORIDA INC |
| Address |
1627 Us Hwy 1 Suite 101 Sebastian FL 32958-3462 |
| Phone Number | 7725819551 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3971678558 |
| Number of Group Practice Members | 110 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1627 Us Hwy 1, Suite 101, Sebastian, FL 32958-3462 | 7725819551 | WELLMED MEDICAL MANAGEMENT OF FLORIDA INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 97% |
| Organization Legal Name | WELLMED MEDICAL MANAGEMENT OF FLORIDA INC |
| Physicians | 128 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yearim Gutierrez Cotto | Internal Medicine | Wellmed Medical Management of Florida Inc | 415 W 49th St, Suite 1, Hialeah, FL 33012-3637 |
| Tina Marie Fitch Carter | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 2701 W Saint Isabel St, Tampa, FL 33607-6324 |
| Barbara Muniz | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 13301 N Dale Mabry Hwy, Suite A, Tampa, FL 33618-2400 |
| Kimberly Anne Channels | Physician Assistant | Wellmed Medical Management of Florida Inc | 15320 Amberly Dr, Suite A, Tampa, FL 33647-1647 |
| Charlotte Ann Hall | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 11924 Sheldon Rd, Tampa, FL 33626-3643 |
| Hannah M Beavers | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 4278 W Linebaugh Ave, Suite B, Tampa, FL 33624-5241 |
| Melissa Pierre | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 1685 Gulf To Bay Blvd, Clearwater, FL 33755-6422 |
| Andrew P Chase | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 6350 Central Ave, St Petersburg, FL 33707-1430 |
| Holger Fabrizio Montesdeoca | Internal Medicine | Wellmed Medical Management of Florida Inc | 5979 Vineland Rd, Suite 208, Orlando, FL 32819-7855 |
| Sarkis Barupian | Family Practice | Wellmed Medical Management of Florida Inc | 6092sefederal Hwy, Stuart, FL 34997-8101 |
| Street Address |
1627 US HWY 1 SUITE 101 |
| City | SEBASTIAN |
| State | FL |
| Zip | 32958-3462 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Anthony Venazio | Internal Medicine | 1627 Us Hwy 1, Suite 201, Sebastian, FL 32958-3462 | |
| Marie R Prinsen | Family Medicine | Wellmed Medical Management of Florida Inc | 1627 Us Hwy 1, Suite 101, Sebastian, FL 32958-3462 |
| Cheryl T Winchel | Family Medicine | Wellmed Medical Management of Florida Inc | 1627 Us Hwy 1, Suite 101, Sebastian, FL 32958-3462 |
| Evangelina Bryant | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 1627 Us Hwy 1, Suite 101, Sebastian, FL 32958-3462 |
| Michael M Gutierrez | Dermatology | Mid-florida Dermatology Associates P.a. | 1627 Us Hwy 1, Suite 207, Sebastian, FL 32958-3464 |
| Kristie Marie Houle | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 1627 Us Hwy 1, Sebastian, FL 32958-3462 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Prudenti | Clinical Social Worker | 1515 Us Hwy 1, Suite 201, Sebastian, FL 32958 | |
| Andrew Dobo | Psychologist, Clinical | 1515 Us One Hwy 201, Sebastian, FL 32958 | |
| Michael A Mazziotta Ii | Podiatry | Indian River Podiatry P.a. | 1515 Us Hwy 1, Suite 204, Sebastian, FL 32958-1612 |
| Nicholas W Rutledge | Podiatry | Indian River Podiatry P.a. | 1515 Us Hwy 1, Suite 204, Sebastian, FL 32958-1612 |
| Richard M Greene | Psychologist, Clinical | 1515 Us Hwy 1, Suite 201, Sebastian, FL 32958-1612 | |
| Connie R Lawrence-willis | Optometry | 2001 Us Hwy 1, Sebastian, FL 32958-1615 | |
| David J Haile | Podiatry | Podiatry Associates of Indian River County, LLC | 1424 Us Hwy 1 A, Sebastian, FL 32958-1619 |
| Romain Onteniente | Podiatry | Podiatry Associates of Indian River County, LLC | 1424 Us Hwy 1 A, Sebastian, FL 32958-1619 |
| Sharon Paxton | Clinical Social Worker | 735 A Commerce Ctr Dr, Sebastisan, FL 32958-3136 | |
| Dwayne D Montie | Dermatology | Waters Edge Dermatology LLC | 7765 144th St, Unit 1, Sebastian, FL 32958-3206 |
| Find all physicians in zip 32958 | |||
| City | SEBASTIAN |
| Zip Code | 32958 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SEBASTIAN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kimberly R Foncham Bradley.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.