Individual provider · NPI-1

Tammy Lynn Bradford, CPNP

Nurse Practitioner, Pediatrics · Round Rock, TX

NPI number1801237771
StatusActive
Last updated in NPPESJun 23, 2026

Details

NPI
1801237771
Entity type
Individual (NPI-1)
Name
Tammy Lynn Bradford
Credential
CPNP
Sex
Female
Sole proprietor
No
Enumeration date
Jul 8, 2013
Certification date
Jun 23, 2026
Last updated
Jun 23, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, PediatricsAP124085TXYes
363LP0200X Nurse Practitioner, Pediatrics604545TX

Practice location

425 University Blvd
Round Rock, TX 78665-1053

Phone 512-509-0200

Mailing address

Po Box 844658
Dallas, TX 75284-4658

Other practice locations

1301 Memorial Dr
Bryan, TX 77802-5205

Phone 979-731-4520

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