Individual provider · Type 1 NPI

Bradley Randall Winters

Military Health Care Provider · Jacksonville, FL

NPI number 1053250159 Active

Practice location

2080 Child St Dept 5000
Jacksonville, FL 32214-5000

Call (904) 542-7300 Map

Mailing address

644 Marysville Way
Richland, WA 99352-7880

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1053250159

Bradley Randall Winters's National Provider Identifier is 1053250159, issued on Mar 25, 2026. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Jacksonville, FL. The record was last updated on Mar 25, 2026.