Individual provider Active NPI

Bradley Bugg, OD

  • Optometrist
  • Union City, TN
National Provider Identifier
1043610025
Registry record updated Jun 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3207 Issued in TN
Practice address
1022 S Miles Ave
Union City, TN 38261-5432
Phone
(731) 885-1049
Fax
(731) 885-6488
NPI assigned
Aug 27, 2014
Last updated
Jun 6, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Optometrist 152W00000X 3207 TN Primary

Addresses

Primary practice location

1022 S Miles Ave
Union City, TN 38261-5432

Mailing address

1022 S Miles Ave
Union City, TN 38261-5432
Phone (731) 885-1049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141006001124 TN Practitioner - Optometry 8426278938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union City Eye Care PCGroup PAC ID 1557375342, 3 clinicians

Practice addresses (Care Compare)

1022 S Miles Ave
Union City, TN 38261-5432
Phone (731) 885-1049

Merit-based Incentive Payment System (MIPS)

Final score
93.33 of 100Reported as group
Quality
86.66
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3207TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Union City Eye Care, P.C. Optometrist CurrentSince Sep 4, 2014 Accepting new patients

Locations

1022 S Miles Ave
Union City, TN 38261
Phone (731) 885-1049

Interoperability endpoints

  • Direct secure messaging: drbradleybugg@direct.revolutionehr.com

Organizations & group practices 1

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": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496707200000",
    "number": "1043610025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 S MILES AVE",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382615432",
            "telephone_number": "731-885-1049",
            "fax_number": "731-885-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 S MILES AVE",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382615432",
            "telephone_number": "731-885-1049",
            "fax_number": "731-885-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUGG",
        "first_name": "BRADLEY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-27",
        "last_updated": "2017-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, TN

Sources for this page

Verify at the official NPI Registry.