Active NPI
Bradley John Potsic, M.D.
- Diagnostic Radiology Physician
- Weston, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME121467
- Practice address
- 2950 Cleveland Clinic Blvd
Weston, FL 33331-3625 - Phone
- (954) 689-5123
- Fax
- (954) 689-5115
- NPI assigned
- Apr 3, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME121467 | FL | Primary |
Addresses
Primary practice location
2950 Cleveland Clinic Blvd
Weston, FL 33331-3625
Mailing address
2950 Cleveland Clinic Blvd
Weston, FL 33331-3625
Phone (954) 689-5123
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01224603 | Other | NV | RR MEDICARE |
| P01250080 | Other | NV | RR MEDICARE DR |
| 1063533412 | Medicaid | CA | |
| 1063533412 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, CA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Florida College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2950 Cleveland Clinic Blvd
Weston, FL 33331-3609
Phone (954) 659-5000
3100 Weston Rd
Weston, FL 33331-3602
Phone (954) 659-5000
525 Okeechobee Blvd
West Palm Beach, FL 33401-6349
Phone (561) 804-0200
5701 N University Dr
Coral Springs, FL 33067-1703
Phone (877) 463-2010
Hospital & facility affiliations
- Cleveland Clinic Indian River Hospital
- Cleveland Clinic Hospital
- Cleveland Clinic Martin North Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.26 of 100
- Quality
- 80.2
- Promoting interoperability
- 99.24
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME121467 | FL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cleveland Clinic Florida a Nonprofit Corporation | Current | Accepting new patients | |
| San Fernando Valley Interventional Radiology and Imaging Center | Current | Accepting new patients | |
| Southwest Medical Associates, Inc | Current | Accepting new patients | |
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| Ellis Bandt Birkin Kollins & Wong PLLC | Diagnostic Radiology | Past | Accepting new patients |
| Santa Ana Tustin Radiology Medical Group | Diagnostic Radiology | Past | Accepting new patients |
| Shelin Agrawal and Hyer PLLC | Diagnostic Radiology | Past | Accepting new patients |
| Kern Radiology Medical Group, Inc | Diagnostic Radiology | Past | Accepting new patients |
Locations
16311 Ventura Blvd
Ste 120
Encino, CA 91436
Phone (818) 817-7707
2950 Cleveland Clinic Blvd
Weston, FL 33331
Phone (954) 689-5000
2811 W Horizon Ridge Pkwy
Henderson, NV 89052
3920 S Eastern Ave
Ste 100
Las Vegas, NV 89119
Phone (702) 759-8779
2020 Palomino Ln
Ste 100
Las Vegas, NV 89106
Phone (702) 759-8779
7200 Cathedral Rock Dr
Ste 230
Las Vegas, NV 89128
Phone (702) 623-7568
4880 Wynn Rd
Ste 100
Las Vegas, NV 89103
Phone (702) 759-4600
2316 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8330
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
Networks
- Freedom Health HMO Network
Interoperability endpoints
- bpotsic1356272@direct.ccf.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 and National Provider Directory roles.
-
- Clinic/Center
- Weston, FL
- NPI 1215989298
-
- Vascular-Interventional Technology Radiologic Technologist
- Encino, CA
- NPI 1942350889
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1659346005
-
- General Acute Care Hospital
- Euclid, OH
- NPI 1457403016
-
- Diagnostic Radiology Physician
- Las Vegas, NV
- NPI 1578584678
-
- Diagnostic Radiology Physician
- Bakersfield, CA
- NPI 1720023997
-
- Diagnostic Radiology Physician
- Santa Ana, CA
- NPI 1972531036
-
- Diagnostic Radiology Physician
- Las Vegas, NV
- NPI 1861783961
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Weston, FL
- NPI 1083644033
-
- General Acute Care Hospital
- Vero Beach, FL
- NPI 1376512988
-
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697673600000",
"number": "1063533412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2950 CLEVELAND CLINIC BLVD",
"city": "WESTON",
"state": "FL",
"postal_code": "333313625",
"telephone_number": "954-689-5123",
"fax_number": "954-689-5115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 CLEVELAND CLINIC BLVD",
"city": "WESTON",
"state": "FL",
"postal_code": "333313625",
"telephone_number": "954-689-5123",
"fax_number": "954-689-5115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTSIC",
"first_name": "BRADLEY",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2023-10-19",
"certification_date": "2023-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME121467",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01224603",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE DR",
"identifier": "P01250080",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1063533412",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1063533412",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.