Active NPI
Bradley Tyler Marker, MD
- Surgery Physician
- Dothan, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD.29548
- Practice address
- 4300 W Main St
Suite 24
Dothan, AL 36305-1054 - Phone
- (334) 793-1534
- Fax
- (334) 793-6840
- NPI assigned
- Jun 13, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD.29548 | AL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
4300 W Main St
Suite 24
Dothan, AL 36305-1054
Mailing address
4300 W Main St
Suite 24
Dothan, AL 36305-1054
Phone (334) 793-1534
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BP1-0017854 | Other | INSTITUTIONAL PERMIT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Alabama School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4300 W Main St
Suite 24
Dothan, AL 36305-1312
Phone (334) 793-1534
Hospital & facility affiliations
- Flowers Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.97 of 100
- Quality
- 75.95
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 14 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 19 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.29548 | AL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wiregrass Clinic LLC | Surgery | Current | Accepting new patients |
Locations
4300 W Main St
Ste 24
Dothan, AL 36305
Phone (334) 793-1534
4300 W Main St
Ste 21
Dothan, AL 36305
Phone (334) 699-7900
4300 W Main St
Ste 45
Dothan, AL 36305
Phone (334) 673-0049
Interoperability endpoints
- bradley.marker.1@3326.direct.athenahealth.com
- https://api.platform.athenahealth.com/3326/brand/1/csg/402/fhir/r4
Organizations & group practices 1
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.
-
- Neurological Surgery Physician
- Dothan, AL
- NPI 1558657890
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dothan, AL
- NPI 1801830500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419292800000",
"number": "1073717849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 W MAIN ST",
"address_2": "SUITE 24",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363051054",
"telephone_number": "334-793-1534",
"fax_number": "334-793-6840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 W MAIN ST",
"address_2": "SUITE 24",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363051054",
"telephone_number": "334-793-1534",
"fax_number": "334-793-6840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKER",
"first_name": "BRADLEY",
"middle_name": "TYLER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-13",
"last_updated": "2014-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AL",
"license": "MD.29548",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INSTITUTIONAL PERMIT",
"identifier": "BP1-0017854",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; 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.