MR. BRADLEY JAMES WINE (RN) – Medical-Surgical Registered Nurse, NPI 1013553650

MR. BRADLEY JAMES WINE (RN) is a healthcare provider. based in Omaha, Nebraska. specializing in Medical-Surgical Registered Nurse. They hold the professional credentials RN. They hold a License No. RN9524431 (FL). The NPI Number for MR. BRADLEY JAMES WINE (RN) is 1013553650

Main info

Male
Sole Proprietor
Name
MR. BRADLEY JAMES WINE (RN)
NPI
1013553650
Phone
(904) 202-2000
Address
1010 N 102ND ST STE 300
Enumeration Date
19 November 2019
Last Update Date
19 November 2019
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

Provider Addresses for MR. BRADLEY JAMES WINE (RN)

  • 1010 N 102ND ST STE 300

    OMAHA, NE 681142122

    Phone: (904) 202-2000

    Type: Mailing

  • 800 PRUDENTIAL DR

    JACKSONVILLE, FL 322078202

    Phone: (904) 202-2000

    Type: Location

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68114)

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Reviews

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Frequently asked questions

Can I verify MR. BRADLEY JAMES WINE (RN) with an NPI only?
You can start verification with NPI 1013553650 for MR. BRADLEY JAMES WINE (RN), then check state licensing separately.
Is MR. BRADLEY JAMES WINE (RN) listed as active for patients and plans?
The listing shows MR. BRADLEY JAMES WINE (RN) as active in the NPI system.
What taxonomy line describes MR. BRADLEY JAMES WINE (RN)?
For research purposes, treat MR. BRADLEY JAMES WINE (RN) as Medical-Surgical Registered Nurse in this dataset. Clinical services aligned with this taxonomy classification.
Does MR. BRADLEY JAMES WINE (RN) list a practice location?
Patients near Omaha, Nebraska may find MR. BRADLEY JAMES WINE (RN) in results; validate coverage separately.
Is the information about MR. BRADLEY JAMES WINE (RN) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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