NPIMap

Individual provider Active NPI

Bradley J North, DO

  • Emergency Medicine Physician
  • Powell, WY
National Provider Identifier
1023057874
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
7053A Issued in WY
Practice address
777 Avenue H
Powell, WY 82435
Phone
(307) 754-2267
Fax
(307) 754-7730
NPI assigned
Jun 6, 2006
Last updated
Feb 8, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 7053A WY Primary

Addresses

Primary practice location

777 Avenue H
Powell, WY 82435

Mailing address

777 Avenue H
Powell, WY 82435
Phone (307) 754-2267

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040702000444 WY Practitioner - Emergency Medicine 5890772248 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Ohio University, College of Osteopathic Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Big Horn County Hospital DistrictGroup PAC ID 1254314107, shared by 3 NPIs, 14 clinicians
Powell Valley Healthcare IncGroup PAC ID 5092798561, shared by 5 NPIs, 31 clinicians

Practice addresses (Care Compare)

388 US Hwy 20 S
Basin, WY 82410-8902
Phone (307) 568-3311

450 Mountain View
Powell, WY 82435-2212
Phone (307) 754-7257

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.54 of 100Reported as group
Quality
71.68
Promoting interoperability
100
Improvement activities
40
Cost
70.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7053AWYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Big Horn County Hospital District Current Accepting new patients
South Big Horn County Hospital District CurrentSince Mar 23, 2023 Accepting new patients
Powell Valley Health Care Inc CurrentSince Jan 28, 2014 Accepting new patients
Powell Valley Healthcare Inc Emergency Medicine CurrentSince Jan 28, 2014 Accepting new patients
South Big Horn County Hospital District CurrentSince Mar 23, 2023 Accepting new patients
Northwest Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Locations

388 US Highway 20 S
Basin, WY 82410
Phone (307) 347-5810

450 Mountain View St
Powell, WY 82435
Phone (307) 754-2267

450 Mountain View St
Unit B
Powell, WY 82435
Phone (307) 754-1202

777 Avenue H
Powell, WY 82435
Phone (307) 754-1175

Interoperability endpoints

  • Direct secure messaging: bnorth8@powellvalleyhealthcare.cernerdirect.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Powell Valley Health Care IncPowell, WY, CCN 53Z310 Hospital Corporate Director Jan 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454889600000",
    "number": "1023057874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 AVENUE H",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "82435",
            "telephone_number": "307-754-2267",
            "fax_number": "307-754-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 AVENUE H",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "82435",
            "telephone_number": "307-754-2267",
            "fax_number": "307-754-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTH",
        "first_name": "BRADLEY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2016-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WY",
            "license": "7053A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, WY

Sources for this page

Verify at the official NPI Registry.