Christopher M Bradbury, M.D., PH.D.
Individual provider Active NPI Radiation Oncology Physician · Springfield, IL
NPI 1063723930 · NPPES record last updated Jul 1, 2020
Key facts
- NPI
- 1063723930
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Radiation Oncology Physician 2085R0001X
- License
- 036137867 (IL)
- Practice address
- 701 N 1St Street
Springfield, IL 62781-0001 - Phone
- (217) 528-7541
- NPI assigned
- Jun 25, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 26
Hospital & facility affiliations 4
Owned or controlled facilities with NPI records 5
Medicare Care Compare profile
- 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, LLP
Practice addresses (Care Compare)
567 N Westgate Ave
Jacksonville, IL 62650-1156
Phone (217) 528-7541
701 N 1St St
Springfield, IL 62781-0001
Phone (217) 528-7541
775 Engineering Ave
Springfield, IL 62703-5909
Phone (217) 522-4300
Hospital & facility affiliations
- Memorial Medical Center
- St Johns Hospital
- Decatur Memorial Hospital
- Abraham Lincoln Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 5
| Facility | Type | Role | Since |
|---|---|---|---|
| Springfield Clinic Lincoln Rural Health |
Rural health clinic | Limited Partnership Interest | Jul 1, 2020 |
| Springfield Clinic Nokomis Rural Health |
Rural health clinic | Limited Partnership Interest | Jul 1, 2020 |
| Springfield Clinic Raymond Rural Health |
Rural health clinic | Limited Partnership Interest | Jul 1, 2020 |
| Springfield Clinic Neoga Rural Health |
Rural health clinic | Limited Partnership Interest | Jul 1, 2020 |
| Springfield Clinic, LLP |
Rural health clinic | Limited Partnership Interest | Jul 1, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150708001619 | IL | Practitioner - Radiation Oncology | 9436388113 | Reassigns benefits to 2 organizations |
| I20250726000197 | MO | Practitioner - Radiation Oncology | 9436388113 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urology of St. Louis, Inc. | Current |
Accepting new patients | |
| Springfield Clinic, LLP | Current |
Accepting new patients | |
| Urology of St. Louis, Inc. | Current |
Accepting new patients | |
| Urology of St. Louis, Inc. | Past | Accepting new patients |
Locations
326 Fountains Pkwy
Fairview Heights, IL 62208
Phone (618) 277-3109
567 N Westgate Ave
Jacksonville, IL 62650
Phone (217) 243-8400
6812 State Route 162
Ste 200
Maryville, IL 62062
Phone (618) 288-0900
3301 Broadway St
Quincy, IL 62301
Phone (217) 277-4070
1025 S 6th St
Springfield, IL 62703
775 Engineering Ave
Springfield, IL 62703
Phone (217) 522-4300
340 W Miller St
Springfield, IL 62702
Phone (217) 523-4700
701 N 1st St
Springfield, IL 62702
Phone (217) 545-0182
701 N 1st St
Springfield, IL 62781
Phone (217) 788-3100
12855 N 40 Dr
Ste Ll
Saint Louis, MO 63141
12855 N 40 Dr
Saint Louis, MO 63141
Phone (314) 432-4415
12855 N 40 Dr
Ste 375
Saint Louis, MO 63141
Interoperability endpoints
- c.bradbury.1@28977.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 2011009208 | MO | |
| Radiation Oncology Physician | 2085R0001X | 036137867 | IL | Yes |
Addresses
Primary practice location
701 N 1St Street
Springfield, IL 62781-0001
Mailing address
1025 S 6TH St
Springfield, IL 62703-2403
Phone (217) 528-7541
Other names
- Dr. C. Matthew Bradbury
Other providers in Springfield, IL
- Gregory Mark Boyer
- Michelle Alexandria Boyer
- Trinithas Jeanne Boyi
- Ashley M. Boyle
- Melinda Boyster
- Edward Michael Bradley
- Mallory Bragg
- Anasuya Soumya Brahmamdam
- Brains in Motion, LLC.
- Monica Marie Braley
All providers in Springfield, IL · Radiation Oncology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.