Christopher M Bradbury, M.D., PH.D.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

036137867 Issued in IL

Practice address

701 N 1St Street
Springfield, IL 62781-0001

Phone

(217) 528-7541

NPI assigned

Jun 25, 2010

Last updated

Jul 1, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. C. Matthew Bradbury Other name

Medicare fee-for-service enrollment

Enrolled in IL, MO2 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 2

Specialty

Radiation Oncology

Education

University of Vermont College of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Springfield Clinic, LLPGroup PAC ID 0547166076, 678 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Medical Center Hospital, Springfield, IL, CCN 140148
• St Johns Hospital Hospital, Springfield, IL, CCN 140053
• Decatur Memorial Hospital Hospital, Decatur, IL, CCN 140135
• Abraham Lincoln Memorial Hospital Hospital, Lincoln, IL, CCN 141322

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: c.bradbury.1@28977.direct.athenahealth.com

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Springfield Clinic LLP

  • Rural Health Clinic/Center
  • Raymond, IL
  • NPI 1013255942

  Limited Partnership Interest

  CMS ownership
• Springfield Clinic LLP

  • Rural Health Clinic/Center
  • Macomb, IL
  • NPI 1730831157

  Limited Partnership Interest

  CMS ownership
• Springfield Clinic LLP

  dba Springfield Clinic Rural Health Neoga

  • Rural Health Clinic/Center
  • Neoga, IL
  • NPI 1972790889

  Limited Partnership Interest

  CMS ownership
• Springfield Clinic, LLP

  • Rural Health Clinic/Center
  • Lincoln, IL
  • NPI 1518143452

  Limited Partnership Interest

  CMS ownership
• Springfield Clinic, LLP

  • Rural Health Clinic/Center
  • Nokomis, IL
  • NPI 1922285600

  Limited Partnership Interest

  CMS ownership

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.

• Springfield Clinic, LLP

  • Multi-Specialty Clinic/Center
  • Springfield, IL
  • NPI 1780638478
  Medicare reassignment Care Compare group NPD
• Urology of St. Louis, Inc.

  dba Neurosurgery of St Louis

  • Specialist
  • Saint Louis, MO
  • NPI 1528017191

  IL

  Medicare reassignment NPD
• Urology of St. Louis, Inc.

  dba Neurosurgery of St Louis

  • Specialist
  • O'Fallon, IL
  • NPI 1265392476
  NPD
• Urology of St. Louis, Inc.

  • Urology Physician
  • Fairview Heights, IL
  • NPI 1528901287
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Abraham Lincoln Memorial Hospital

  • Critical Access Hospital
  • Lincoln, IL
  • NPI 1154329753
  Care Compare affiliation
• Decatur Memorial Hospital

  • General Acute Care Hospital
  • Decatur, IL
  • NPI 1548357973
  Care Compare affiliation
• Memorial Medical Center

  • General Acute Care Hospital
  • Springfield, IL
  • NPI 1255317590
  Care Compare affiliation
• St Johns Hospital of the Hospital Sisters of the Third Order of St F

  dba HSHS St. John's Hospital

  • General Acute Care Hospital
  • Springfield, IL
  • NPI 1205818481
  Care Compare affiliation

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1063723930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 S 6TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627032403",
            "telephone_number": "217-528-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N 1ST STREET",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627810001",
            "telephone_number": "217-528-7541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADBURY",
        "first_name": "CHRISTOPHER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-25",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MO",
            "license": "2011009208",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IL",
            "license": "036137867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "C. MATTHEW",
            "last_name": "BRADBURY",
            "prefix": "DR.",
            "credential": "M.D., PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gregory Mark Boyer, D.M.D.
• Michelle Alexandria Boyer
• Trinithas Jeanne Boyi, MD
• Ashley M. Boyle, DPT
• Melinda Boyster, CRNA
• Edward Michael Bradley, M.D.
• Mallory Bragg
• Anasuya Soumya Brahmamdam, M.D.
• Brains in Motion, LLC.
• Monica Marie Braley, RBT

• Radiation Oncology Physician in Springfield, IL
• Providers in Springfield, IL by specialty
• Radiation Oncology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.