Individual provider Active NPI

Bradley Tyler Marker, MD

  • Surgery Physician
  • Dothan, AL
National Provider Identifier
1073717849
Registry record updated Dec 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD.29548 Issued in AL
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

Updated by the provider on Dec 23, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
BP1-0017854OtherINSTITUTIONAL 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100205000047 AL Practitioner - General Surgery 8527101070 Reassigns benefits to 1 organization

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
Wiregrass Clinic LLCGroup PAC ID 2860662491, 69 clinicians

Practice addresses (Care Compare)

4300 W Main St
Suite 24
Dothan, AL 36305-1312
Phone (334) 793-1534

Hospital & facility affiliations

  • Flowers Hospital Hospital, Dothan, AL, CCN 010055

Merit-based Incentive Payment System (MIPS)

Final score
87.97 of 100Reported as apm
Quality
75.95
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy14
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux19
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.29548ALMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wiregrass Clinic LLC Surgery CurrentSince May 1, 2024 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

  • Direct secure messaging: bradley.marker.1@3326.direct.athenahealth.com
  • FHIR API: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.