Healthcare Provider Details

I. General information

NPI: 1346203817
Provider Name (Legal Business Name): BRADFORD A WINANS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2006
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7832 CHAPEL CREEK DR
DENVER NC
28037-8420
US

IV. Provider business mailing address

7700 W SUNRISE BLVD
PLANTATION FL
33322-4113
US

V. Phone/Fax

Practice location:
  • Phone: 704-966-0036
  • Fax:
Mailing address:
  • Phone: 720-462-5373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberME89457
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number35076165
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: