DR. NINA GRACE BRADLEY (D.O.) – Neurology Physician, NPI 1750692422

DR. NINA GRACE BRADLEY (D.O.) is a healthcare provider. based in Fort myers, Florida. specializing in NEUROLOGY. They hold the professional credentials D.O.. They hold a License No. 87299 (GA). The NPI Number for DR. NINA GRACE BRADLEY (D.O.) is 1750692422

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. NINA GRACE BRADLEY (D.O.)
NPI
1750692422
Phone
(239) 208-2212
Address
11215 METRO PKWY STE 1
Enumeration Date
28 June 2010
Last Update Date
13 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6318623000
Graduation Year
2010 (16 years ago)
PAC ID
6709025505
Group Practice PAC ID
0941267876
Professional Enrollment ID
I20141027001235
Address ID
NY117871348SM50XXX25AX300
Telehealth
Yes

Contacts

Secure Messaging
benefishealthsystem@direct.summit-healthcare.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience85
Completeness95
Years active:15State licenses:6Other names

1,847 NEUROLOGY in FL

Provider Addresses for DR. NINA GRACE BRADLEY (D.O.)

  • 11215 METRO PKWY STE 1

    FORT MYERS, FL 339661206

    Phone: (239) 208-2212

    Type: Mailing

  • 1005 MAR WALT DRIVE

    FORT WALTON BEACH, FL 325476796

    Phone: (850) 863-8100

    Fax: (850) 863-8548

    Type: Mailing

  • 1106 HOSPITAL ROAD

    NEUROSCIENCE CENTER

    FORT WALTON BEACH, FL 325476796

    Phone: (850) 863-8169

    Fax: (850) 863-7045

    Type: Location

  • 2801 N Gantenbein Ave

    Portland, OR 972271623

    Phone: (503) 413-3275

    Type: Location

  • 1968 Peachtree Rd NW

    Atlanta, GA 303091281

    Phone: (404) 788-1010

    Type: Location

  • 1250 S Cedar Crest Blvd Ste 405

    Allentown, PA 181036224

    Phone: (610) 402-8420

    Type: Location

  • 2790 Clay Edwards Dr Ste 1235

    North Kansas City, MO 641163276

    Phone: (816) 472-5157

    Fax: (816) 472-7201

    Type: Location

  • 9110 COLLEGE POINTE CT

    FORT MYERS, FL 339193244

    Phone: (239) 208-2212

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 15 Medicare enrollment records; no due dates published yet.

Enrollment records

15

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141027001235INeurologyNYTBD
I20180606002640INeurologyFLTBD
I20201116003004INeurologyORTBD
I20201217000702INeurologyMTTBD
I20210121000774INeurologyMITBD
I20210304000726INephrologyIATBD
I20210322001518INeurologyOHTBD
I20210609002590INeurologyNHTBD
I20210630001876INeurologyGATBD
I20210913002811INeurologyWATBD
I20211202002887INeurologyAZTBD
I20220114001490INeurologyNDTBD
I20220912003516INeurologyKYTBD
I20230413000224INeurologyPATBD
I20230905000674INeurologyMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0425Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth4747$0
G0508Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth1414$0
View full utilization report →

Insurance plans in this area (ZIP 33966)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941267876View full group profile
NameSpecialtyState
Psychiatry, Neurology, NephrologyFL
N E U R O L O G YFL
N E U R O L O G YOH
Psychiatry, Addiction MedicineNY
N E U R O L O G YPA
N E U R O L O G YMO
Hospitalist, NeurologyOH
N E U R O L O G YNC
N E U R O L O G YTN
-NY

Reviews

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Frequently asked questions

What identifier follows DR. NINA GRACE BRADLEY (D.O.) across health systems?
The NPI 1750692422 uniquely identifies DR. NINA GRACE BRADLEY (D.O.) in U.S. healthcare data.
Quick check: is DR. NINA GRACE BRADLEY (D.O.) active?
Public NPPES data shows DR. NINA GRACE BRADLEY (D.O.) with an active NPI status right now.
What does the directory say DR. NINA GRACE BRADLEY (D.O.) does?
Insurance directories may phrase it differently, but here DR. NINA GRACE BRADLEY (D.O.) maps to Neurology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. NINA GRACE BRADLEY (D.O.)?
DR. NINA GRACE BRADLEY (D.O.) shows a connection to Fort Myers, Florida in registry-derived data.
Can I export DR. NINA GRACE BRADLEY (D.O.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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