Individual provider Active NPI

Daniel S Bradford, M.D.

  • Hematology & Oncology Physician
  • Rogers, AR
National Provider Identifier
1033180229
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
C6376 Issued in AR
Practice address
808 S 52ND St
Rogers, AR 72758-8602
Phone
(479) 936-9900
Fax
(479) 587-1366
NPI assigned
Jan 27, 2006
Last updated
Mar 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X C6376 AR Primary

Addresses

Primary practice location

808 S 52ND St
Rogers, AR 72758-8602

Mailing address

3232 N Northhills Blvd
Fayetteville, AR 72703-4005
Phone (479) 587-1700

Other practice location 1

3232 N Northhills Blvd
Fayetteville, AR 72703-4005
Phone (479) 587-1700

Other identifiers 3

IdentifierTypeStateIssuer
203802103MedicaidMO
100080660AMedicaidOK
113914001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20051114000146 AR Practitioner - Internal MedicinePractitioner - Hematology/Oncology 2466471057

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.14 of 100Reported as group
Quality
86.39
Promoting interoperability
100
Improvement activities
40
Cost
75.48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C6376ARMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Highlands Oncology Group PA Hematology & Oncology CurrentSince Jun 1, 1996 Accepting new patients
Highlands Oncology Group, PA CurrentSince Jun 1, 1996 Accepting new patients

Locations

3232 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 695-1199

808 S 52nd St
Rogers, AR 72758
Phone (479) 878-1818

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1033180229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3232 N NORTHHILLS BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034005",
            "telephone_number": "479-587-1700",
            "fax_number": "479-587-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 S 52ND ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588602",
            "telephone_number": "479-936-9900",
            "fax_number": "479-587-1366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3232 N Northhills Blvd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727034005",
            "country_code": "US",
            "telephone_number": "479-587-1700",
            "fax_number": "479-587-1366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "DANIEL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AR",
            "license": "C6376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203802103",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100080660A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113914001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.