Individual provider Active NPI

Bradley K Vaughn, MD

  • Orthopaedic Surgery Physician
  • Raleigh, NC
National Provider Identifier
1003819780
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
34925 Issued in NC
Practice address
3001 Edwards Mill Rd
Raleigh, NC 27612-5243
Phone
(919) 781-5600
Fax
(919) 782-6578
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 34925 NC
Orthopaedic Surgery Physician 207X00000X 34925 NC Primary

Addresses

Primary practice location

3001 Edwards Mill Rd
Raleigh, NC 27612-5243

Mailing address

3001 Edwards Mill Rd Ste 200
Raleigh, NC 27612-5243
Phone (919) 781-5600

Other practice location 1

1325 Timber Dr E
Garner, NC 27529-6924
Phone (919) 781-5600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address BRADLEYVAUGHN.RALEIGHORTHO@939.DIRECT.MYEZYACCESS.COM Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100730000503 NC Practitioner - Orthopedic Surgery 0840193454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Raleigh Orthopaedic Clinic PAGroup PAC ID 9032012638, 125 clinicians

Practice addresses (Care Compare)

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

3001 Edwards Mill Rd
Suite 200
Raleigh, NC 27612-5243
Phone (919) 863-6856

Hospital & facility affiliations

  • Unc Home Health Home health agency, Chapel Hill, NC, CCN 347223
  • Bayada Home Health Care, Inc. Home health agency, Raleigh, NC, CCN 347243
  • Rex Hospital Hospital, Raleigh, NC, CCN 340114

Merit-based Incentive Payment System (MIPS)

Final score
87.02 of 100Reported as individual
Quality
88.52
Promoting interoperability
99
Improvement activities
40
Cost
69.04

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement81
Knee replacement115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34925NCMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Orthopaedic Pharmacy CurrentSince Feb 3, 1992 Accepting new patients
Raleigh Orthopaedic Clinic PA Orthopaedic Surgery CurrentSince Feb 3, 1992 Accepting new patients

Locations

1325 Timber Dr E
Garner, NC 27529
Phone (919) 863-6856

3001 Edwards Mill Rd
Ste 200
Raleigh, NC 27612
Phone (919) 863-6852

3515 Glenwood Ave
Raleigh, NC 27612
Phone 91978156006856

3001 Edwards Mill Rd
Raleigh, NC 27612
Phone (919) 719-3070

Interoperability endpoints

  • Direct secure messaging: bradleyvaughn.raleighortho@939.direct.myezyaccess.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1003819780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 EDWARDS MILL RD STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276125243",
            "telephone_number": "919-781-5600",
            "fax_number": "919-863-6821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 EDWARDS MILL RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276125243",
            "telephone_number": "919-781-5600",
            "fax_number": "919-782-6578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 Timber Dr E",
            "address_purpose": "LOCATION",
            "city": "Garner",
            "state": "NC",
            "postal_code": "275296924",
            "country_code": "US",
            "telephone_number": "919-781-5600",
            "fax_number": "919-863-6821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "BRADLEY",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "NC",
            "license": "34925",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "34925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BRADLEYVAUGHN.RALEIGHORTHO@939.DIRECT.MYEZYACCESS.COM",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3001 Edwards Mill Rd",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276125243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.