Individual provider Active NPI

Bradley Gao, MD

  • Emergency Medicine Physician
  • Ketchikan, AK
National Provider Identifier
1073074050
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
189642 Issued in AK
Practice address
3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone
(907) 225-5171
NPI assigned
Mar 31, 2019
Last updated
May 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 62694 TN
Emergency Medicine Physician 207P00000X A194738 CA
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 189642 AK Primary

Addresses

Primary practice location

3100 Tongass Ave
Ketchikan, AK 99901-5746

Mailing address

3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone (907) 225-5171

Other practice location 1

975 E 3rd St
Chattanooga, TN 37403-2147
Phone (423) 778-7628

Other names 1

  • N/a N/a Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, CA, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20220520002149 AK Practitioner - Emergency Medicine 1850790627 Reassigns benefits to 2 organizations
I20240613003605 CA Practitioner - Emergency Medicine 1850790627 Reassigns benefits to 5 organizations
I20260320002299 TX Practitioner - Emergency Medicine 1850790627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Tennessee, HSC, College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alameda Health SystemGroup PAC ID 3779494521, 597 clinicians
Pacific Redwood Medical Group IncGroup PAC ID 5496652703, 58 clinicians
Ketchikan Emergency Physicians, LLCGroup PAC ID 8820500135, 13 clinicians

Practice addresses (Care Compare)

13855 E 14TH St
San Leandro, CA 94578-2611
Phone (510) 357-6500

232 Hospital Dr
Suite B
Ukiah, CA 95482-4562
Phone (707) 467-4994

3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone (907) 225-5171

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

Merit-based Incentive Payment System (MIPS)

Final score
79.12 of 100Reported as group
Quality
81.91
Promoting interoperability
100
Improvement activities
40
Cost
40.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
189642AKMDEmergency Medicine Physician
A194738CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Emergency Medicine Current Accepting new patients
Pacific Redwood Medical Group Inc Emergency Medicine CurrentSince Jun 15, 2025 Accepting new patients
Alameda Health System CurrentSince Jun 30, 2024 Accepting new patients
Nes Washington, Inc. Emergency Medicine CurrentSince Apr 25, 2022 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Sep 1, 2024 Accepting new patients
Nes Western Group, a Professional Corporation Emergency Medicine CurrentSince Sep 10, 2024 Accepting new patients
Alameda Health System CurrentSince Jun 30, 2024 Accepting new patients
Nes Western Group, a Professional Corporation Emergency Medicine CurrentSince Sep 10, 2024 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Sep 1, 2024 Accepting new patients
Alameda Health System Current Accepting new patients
Ketchikan Emergency Physicians, LLC Emergency Medicine CurrentSince May 15, 2025 Accepting new patients
Altamont Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients

Locations

3100 Tongass Ave
Ketchikan, AK 99901
Phone (907) 225-4104

2070 Clinton Ave
Alameda, CA 94501
Phone (510) 522-3700

15630 18th Ave
Clearlake, CA 95422
Phone (707) 995-5820

700 River Dr
Fort Bragg, CA 95437
Phone (707) 961-1234

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

450 Glass Ln
Ste C
Modesto, CA 95356

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 261-7821

13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500

1420 N Tracy Blvd
Tracy, CA 95376
Phone (209) 832-6018

232 Hospital Dr
Ste B
Ukiah, CA 95482
Phone (707) 463-7356

275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900

1 Marcela Dr
Willits, CA 95490
Phone (707) 456-3001

Interoperability endpoints

  • Direct secure messaging: bgao131444@alamedahs.direct-ci.com
  • Direct secure messaging: bgao558344@direct.peacehealth.org
  • Direct secure messaging: bgao687906@hisp.ehr.sutterhealth.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 6

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": "1553990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1073074050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 TONGASS AVE",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015746",
            "telephone_number": "907-225-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 TONGASS AVE",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015746",
            "telephone_number": "907-225-5171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "975 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374032147",
            "country_code": "US",
            "telephone_number": "423-778-7628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAO",
        "first_name": "BRADLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-31",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "62694",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A194738",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AK",
            "license": "189642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N/A",
            "last_name": "N/A",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ketchikan, AK

Sources for this page

Verify at the official NPI Registry.