Individual provider Active NPI

Bradley Eleazar Neuman, MD

  • Surgery Physician
  • Mesa, AZ
National Provider Identifier
1053622548
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
54062 Issued in AZ
Practice address
6553 E Baywood Ave Ste 101
Mesa, AZ 85206-1753
Phone
(480) 321-4155
NPI assigned
Jun 29, 2010
Last updated
May 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 036169150 IL
Surgery Physician 208600000X R72245 AZ
Surgery Physician 208600000X 54062 AZ Primary
Surgery Physician 208600000X MD61533220 WA

Addresses

Primary practice location

6553 E Baywood Ave Ste 101
Mesa, AZ 85206-1753

Mailing address

6553 E Baywood Ave Ste 101
Mesa, AZ 85206-1753
Phone (480) 321-4155

Other practice location 1

9515 Holy Cross Ln Ste 175
Breese, IL 62230-3618
Phone (618) 526-8430

Other practice location 2

12860 Troxler Ave Ste 300
Highland, IL 62249-2898
Phone (618) 664-9831

Other practice location 3

915 Anderson Dr
Aberdeen, WA 98520-1006
Phone (360) 532-8330

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bneuman437625@ewd.direct.hshs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, HI, WA, CA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20171107002371 AZ Practitioner - General Surgery 8820354806 Reassigns benefits to 1 organization
I20230817001821 HI Practitioner - General Surgery 8820354806 Reassigns benefits to 1 organization
I20240319003397 WA Practitioner - General Surgery 8820354806 Reassigns benefits to 1 organization
I20240917002106 CA Practitioner - General Surgery 8820354806 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Arizona College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
GHCH Physician Services, LLCGroup PAC ID 7416011184, 13 clinicians
Samuel Mahelona Memorial HospitalGroup PAC ID 1759271216, shared by 12 NPIs, 46 clinicians

Practice addresses (Care Compare)

1006 N H St
Aberdeen, WA 98520-2521
Phone (360) 537-6496

4643 Waimea Canyon Dr
Waimea, HI 96796
Phone (808) 338-8311

726 4TH St
Marysville, CA 95901-5656
Phone (530) 749-4300

PO Box
Waimea, HI 96796

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R72245AZMDSurgery Physician
4049WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Center for Hematology and Oncology, PLC Surgery CurrentSince Aug 17, 2020 Accepting new patients
Grays Harbor Community Hospital Surgery CurrentSince Feb 20, 2024 Accepting new patients
Arizona Center for Hematology and Oncology, PLC CurrentSince Aug 17, 2020 Accepting new patients
Maui Medical Group Inc Surgery CurrentSince Oct 2, 2023 Accepting new patients
GHCH Physician Services, LLC Surgery CurrentSince Feb 20, 2024 Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery CurrentSince Sep 1, 2024 Accepting new patients
Arizona Center for Hematology and Oncology PLC Current Accepting new patients
Surgical Affiliates of California Surgery CurrentSince Nov 1, 2024 Accepting new patients

Locations

485 S Dobson Rd
Ste 115
Chandler, AZ 85224
Phone (480) 245-4425

655 S Dobson Rd
Ste A105
Chandler, AZ 85224
Phone (480) 245-4425

3615 S Rome St
Gilbert, AZ 85297
Phone (480) 245-4425

14155 N 83rd Ave
Ste 127
Peoria, AZ 85381
Phone (623) 773-2873

10250 N 92nd St
Ste 206
Scottsdale, AZ 85258
Phone (480) 397-9080

10460 N 92nd St
Ste 101
Scottsdale, AZ 85258
Phone (480) 278-8300

8415 N Pima Rd
Ste 280
Scottsdale, AZ 85258
Phone (480) 245-4425

414 G St
Ste 120
Marysville, CA 95901
Phone (530) 749-2110

726 4th St
Marysville, CA 95901
Phone (530) 491-9491

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

375 Terracina Blvd
#B
Redlands, CA 92373
Phone (909) 279-0070

4001 J St
Sacramento, CA 95819
Phone (916) 453-4037

1800 Spring Ridge Dr
Susanville, CA 96130
Phone (530) 252-2225

2180 Main St
Wailuku, HI 96793
Phone (808) 242-4267

1006 N H St
Aberdeen, WA 98520
Phone (360) 537-6032

1006 N H St
Fl 5
Aberdeen, WA 98520
Phone (360) 537-6414

915 Anderson Dr
Aberdeen, WA 98520
Phone (360) 532-8330

319 E Pioneer Ave
Montesano, WA 98563
Phone (360) 249-1980

Interoperability endpoints

  • Direct secure messaging: bneuman437625@ewd.direct.hshs.org

Organizations & group practices 8

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 2

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": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1053622548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6553 E BAYWOOD AVE STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061753",
            "telephone_number": "480-321-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6553 E BAYWOOD AVE STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061753",
            "telephone_number": "480-321-4155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9515 Holy Cross Ln Ste 175",
            "address_purpose": "LOCATION",
            "city": "Breese",
            "state": "IL",
            "postal_code": "622303618",
            "country_code": "US",
            "telephone_number": "618-526-8430",
            "fax_number": "618-526-7275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12860 Troxler Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "IL",
            "postal_code": "622492898",
            "country_code": "US",
            "telephone_number": "618-664-9831",
            "fax_number": "618-664-2553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "915 Anderson Dr",
            "address_purpose": "LOCATION",
            "city": "Aberdeen",
            "state": "WA",
            "postal_code": "985201006",
            "country_code": "US",
            "telephone_number": "360-532-8330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEUMAN",
        "first_name": "BRADLEY",
        "middle_name": "ELEAZAR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036169150",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "R72245",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "54062",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD61533220",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bneuman437625@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "9515 Holy Cross Ln Ste 175",
            "city": "Breese",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622303618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.