Bradley D Wiener, M.D

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

200402 Issued in NY

Practice address

75 Crystal Run Rd
Suite 206
Middletown, NY 10941-7000

Phone

(845) 673-1080

Fax

(845) 673-5320

NPI assigned

Aug 2, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Orthopedic Surgery

Education

New York Medical College, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Middletown Medical PCGroup PAC ID 2567464308, 177 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.92 of 100Reported as group

Quality

68.46

Promoting interoperability

99

Improvement activities

40

Cost

77.61

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678

Interoperability endpoints

• Direct secure messaging: bradley.wiener@mmpc.eclinicaldirectplus.com

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.

• Middletown Medical PC

  • Emergency Medicine Physician
  • Middletown, NY
  • NPI 1902855828
  Medicare reassignment Care Compare group NPD
• Regional Orthopaedics & Pain Management,PLLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Middletown, NY
  • NPI 1700125838
  Medicare reassignment NPD Authorized official
• Catskill Orange Orthopaedics,PC

  • Orthopaedic Surgery Physician
  • Ferndale, NY
  • NPI 1033151535
  NPD (past) Authorized official
• Middletown Medical PC

  • Cardiac Rehabilitation Clinic/Center
  • Middletown, NY
  • NPI 1174201529
  NPD

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1033110895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 CRYSTAL RUN RD",
            "address_2": "SUITE 206",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109417000",
            "telephone_number": "845-673-1080",
            "fax_number": "845-673-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 CRYSTAL RUN RD",
            "address_2": "SUITE 206",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109417000",
            "telephone_number": "845-673-1080",
            "fax_number": "845-673-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIENER",
        "first_name": "BRADLEY",
        "middle_name": "D",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NY",
            "license": "200402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee White
• Alemtsai Whiteman, RN
• Stacey Elizabeth Whyte-Connell, DO
• Heather Christine Wieman, SLP
• Lindsay Wienberg, LMSW
• Adam Jason Wiesenthal, PA-C
• Douglas Wignarajah, MD
• Samadhi Thabrew Wijeratne, MD
• John Wilbur
• Philip D. Wilken, MD

• Sports Medicine (Orthopaedic Surgery) Physician in Middletown, NY
• Providers in Middletown, NY by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.