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Deactivated NPI 1316048994 Deactivated / Inactive NPI Male Practitioner

Bradford James White , RN-C, FNP

Nurse Practitioner • Canton, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Bradford White has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 26, 2006
NPI Deactivation Date January 31, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Bradford White, RN-C, FNP was a registered Nurse Practitioner practicing in Canton, TX. Throughout an active medical career spanning 16 years, Bradford White provided care at the practice location at 18780 INTERSTATE 20 until profile deactivation on 2022-01-31.

Historical Medicare Part B clinical services included new patient outpatient office visit, established patient outpatient office visit, amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

18780 Interstate 20

Canton, TX 751033593

Telephone 9035674841
Associated Practice Facility / Clinic
🏢 Christus Trinity Clinic Texas Facility NPI 1134313083

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Canton, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
5 Specialists

Practicing in Canton, TX (4894 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
79.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
52 52 $383.06 $92.84
99213 Established patient office or other outpatient visit, typically 15 minutes
45 39 $295.59 $75.74
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
28 25 $386.50 $51.31

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX 607227

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
Regan Waters , FNP

Nurse Practitioner - Family

NPI 1003563537

Family Nurse Practitioner

Joseph Bass , FNP

Nurse Practitioner - Family

NPI 1043608540

Family Nurse Practitioner

Dr. Milind Chinoy , DO

Emergency Medicine

NPI 1053671578

Doctor of Osteopathic Medicine (D.O.)

Mark Dresselhouse

Emergency Medicine

NPI 1184088015
Dr. Matthew Hall , MD

Emergency Medicine

NPI 1194136812

Doctor of Medicine (M.D.)

Angela Burrus

Nurse Practitioner

NPI 1245657824

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated January 31, 2022

Record deactivated on January 31, 2022

NPI Profile Active July 24, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 24, 2015

Registered at 18780 INTERSTATE 20, CANTON, TX 751033593 (Tel: 9035674841)

📍
Updated Business Mailing Address July 24, 2015

Registered at PO BOX 846098, DALLAS, TX 752846098 (Tel: 9033246450)

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Provider Name / Credentials Updated July 24, 2015

Recorded as BRADFORD WHITE, RN-C,FNP

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2015

Nurse Practitioner (License #607227 in TX)

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Initial NPI Registration & Enumeration September 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316048994
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2006
Last Update: July 24, 2015
Deactivation Date: January 31, 2022

Mailing Address

Po Box 846098

Dallas, TX 752846098

Phone: 9033246450

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.