MEDICARE: ALISHA JOHNSON BRADFORD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172V00000X	Community Health Worker		MI

General Provider Information

NPI Number	:	1396603262
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISHA JOHNSON BRADFORD

Provider Business Mailing Address
First Line	:	17379 W 13 MILE RD
Second Line	:
City	:	SOUTHFIELD
State	:	MI
Zip	:	48076-1218
Country	:	US
Telephone Number	:	313-492-2920
Fax Number	:

Provider Business Practice Location Address
First Line	:	17379 W 13 MILE RD
Second Line	:
City	:	SOUTHFIELD
State	:	MI
Zip	:	48076-1218
Country	:	US
Telephone Number	:	313-492-2920
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

Similar Medicare Providers

1215895180 — BRADFORD TRANSPORTATION LLC
Practice Location Address:

17379 W 13 MILE RD
SOUTHFIELD, MI
48076-1218

Practice Phone: 313-595-1809
Practice Fax:

1477412179 — MARETTA DEWITT
Practice Location Address:

28475 GREENFIELD RD STE 113
SOUTHFIELD, MI
48076-3034

Practice Phone: 248-470-7287
Practice Fax:

1528927167 — KIRSTEN HALE
Practice Location Address:

20411 W 12 MILE RD STE 101
SOUTHFIELD, MI
48076-6404

Practice Phone: 866-703-1901
Practice Fax:

1396604955 — SHEKINAH IMAN HALE
Practice Location Address:

20700 CIVIC CENTER DR STE 110
SOUTHFIELD, MI
48076-4102

Practice Phone: 800-385-1035
Practice Fax:

1528927050 — PAGE MEDICAL BILLING LLC
Practice Location Address:

20368 WILLOWICK DR
SOUTHFIELD, MI
48076-5081

Practice Phone: 313-887-1283
Practice Fax: 248-281-6966

1588513725 — BRITTANY NICOLE ROGERS
Practice Location Address:

20700 CIVIC CENTER DR STE 110
SOUTHFIELD, MI
48076-4102

Practice Phone: 800-385-1035
Practice Fax:

Directions to “ ALISHA JOHNSON BRADFORD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.