Individual provider Active NPI

Jeffery K Bradley, MPT, ATC

  • Athletic Trainer
  • Beverly Hills, CA
National Provider Identifier
1073695771
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
200 N Robertson Blvd Ste 301
Beverly Hills, CA 90211-6001
Phone
(310) 273-8256
Fax
(310) 273-8542
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT26669 CA
Orthopedic Physical Therapist 2251X0800X PT26669 CA
Athletic Trainer 2255A2300X CA Primary

Addresses

Primary practice location

200 N Robertson Blvd Ste 301
Beverly Hills, CA 90211-6001

Mailing address

200 N Robertson Blvd
Suite 301
Beverly Hills, CA 90211-1769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050701000831 CA Practitioner - Physical Therapist in Private Practice 0840236584 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MDRS Spine and Sport IncGroup PAC ID 3274446687, 181 clinicians
Physical Therapy Specialists IncGroup PAC ID 6507764891, 13 clinicians

Practice addresses (Care Compare)

12723 Ventura Blvd
Studio City, CA 91604-2430
Phone (818) 579-4200

15125 Ventura Blvd
Suite 200
Sherman Oaks, CA 91403-3306
Phone (818) 646-0040

200 N Robertson Blvd
Suite 301
Beverly Hills, CA 90211-6001
Phone (310) 273-8256

5850 Canoga Ave
Suite 120
Woodland Hills, CA 91367-6514
Phone (747) 255-4089

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MDRS Spine & Sport, Inc Physical Therapist CurrentSince Feb 8, 2024 Accepting new patients
Elite Performance Clinic Physical Therapy a Professional Corporation Physical Therapist CurrentSince Jan 12, 2026 Accepting new patients
Physical Therapy Specialists Inc Physical Therapist CurrentSince May 1, 2005 Accepting new patients
MDRS Spine & Sport, Inc Physical Therapist CurrentSince Feb 8, 2024 Accepting new patients
W. Seth Bolling, MD, Inc PastSince May 1, 2005 Accepting new patients

Locations

200 N Robertson Blvd
Ste 301
Beverly Hills, CA 90211
Phone (310) 273-7800

450 Rosewood Ave
Ste 105
Camarillo, CA 93010
Phone (805) 389-4781

1020 Tierra del Rey
Ste A1
Chula Vista, CA 91910
Phone (619) 585-7104

14150 Culver Dr
Ste 103
Irvine, CA 92604
Phone (949) 262-9142

6310 San Vicente Blvd
Ste 200
Los Angeles, CA 90048
Phone (310) 273-7800

9852 Business Park Dr
Ste A
Sacramento, CA 95827
Phone (916) 362-7962

1801 Cleveland Ave
Ste B
Santa Rosa, CA 95401
Phone (707) 526-4180

15125 Ventura Blvd
Ste 200
Sherman Oaks, CA 91403
Phone (818) 646-0040

12723 Ventura Blvd
Studio City, CA 91604
Phone (800) 976-7544

5850 Canoga Ave
Ste 120
Woodland Hills, CA 91367
Phone (747) 255-4089

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1073695771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N ROBERTSON BLVD",
            "address_2": "SUITE 301",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N ROBERTSON BLVD STE 301",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902116001",
            "telephone_number": "310-273-8256",
            "fax_number": "310-273-8542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "JEFFERY",
        "middle_name": "K",
        "credential": "MPT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT26669",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT26669",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.