Tangie Bradley, is a
Health & Wellness Coach based in Jacksonville, Florida. Tangie Bradley is licensed to practice in * (Not Available) (license number ) and her current practice location is
12469 Richfield Blvd, Jacksonville, Florida. She can be reached at her office (for appointments etc.) via phone at
(904) 729-8828.
NPI number for Tangie Bradley is 1205589595 and her current mailing address is 12469 Richfield Blvd, Jacksonville, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205589595.
Healthcare Provider's Profile
| Full Name | Tangie Bradley |
|---|
| Gender | Female |
|---|
| Speciality | Health & Wellness Coach |
|---|
| Location | 12469 Richfield Blvd, Jacksonville, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1205589595
- Provider Enumeration Date: 01/27/2022
- Last Update Date: 01/27/2022
Medical Identifiers
Medical identifiers for Tangie Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205589595 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 171400000X | Health & Wellness Coach | (* (Not Available)) | 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. Tangie Bradley 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 |
|---|
Tangie Bradley,
12469 Richfield Blvd,
Jacksonville, FL 32218-9019
Ph: (904) 729-8828 | Tangie Bradley,
12469 Richfield Blvd,
Jacksonville, FL 32218-9019
Ph: (904) 729-8828 |
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