Michael Patrick Bradley, M.D.
Individual provider Active NPI Orthopaedic Surgery Physician · Wakefield, RI
NPI 1083668883 · NPPES record last updated Jun 16, 2010
Key facts
- NPI
- 1083668883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 12098 (RI)
- Practice address
- 1 High St
Wakefield, RI 02879-3103 - Phone
- (401) 789-1422
- Fax
- (401) 782-6810
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orthopedics Rhode Island Inc
Day Kimball Medical Group Inc
Practice addresses (Care Compare)
1 High St
Wakefield, RI 02879-3103
Phone (401) 777-7000
320 Pomfret St
Putnam, CT 06260-1836
Phone (860) 928-6541
Hospital & facility affiliations
- South County Home Health
- Amedisys Home Health Care
- Visiting Nurse Home and Hospice
- Bayada Home Health Care Inc
- Day Kimball Healthcare
- South County Hospital Inc
- Day Kimball Hospital
- Kent County Memorial Hospital
- Newport Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.3 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 37 |
| Knee replacement | 54 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 15 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in RI, CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060807000390 | RI | Practitioner - Orthopedic Surgery | 9133122492 | Reassigns benefits to 1 organization |
| I20240502001455 | CT | Practitioner - Orthopedic Surgery | 9133122492 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12098 | RI | MD | Orthopaedic Surgery Physician |
Practice roles (5 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedics Rhode Island, Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Orthopedics Rhode Island, Inc | Orthopaedic Surgery | Current |
Accepting new patients |
| Day Kimball Medical Group Inc | Current |
Accepting new patients | |
| Orthopedics Rhode Island, Inc | Current |
Accepting new patients | |
| Rhode Island Hospital | Past | Accepting new patients |
Locations
132 Westminster Rd
Canterbury, CT 06331
Phone (860) 546-2225
320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331
12 S Main St
Ste 2
Putnam, CT 06260
35 Kennedy Dr
Putnam, CT 06260
Phone (860) 963-2133
900 Warren Ave
Ste 202
East Providence, RI 02914
70 Kenyon Ave
Ste 100
Wakefield, RI 02879
1 High St
Wakefield, RI 02879
Phone (401) 789-1422
300 Crossings Blvd
Warwick, RI 02886
Phone (716) 208-1708
268 Post Rd
Westerly, RI 02891
Phone (401) 562-1017
Networks
- goperspecta network organization-21861
Interoperability endpoints
- michael.bradley.1@1694.direct.athenahealth.com
- https://api.platform.athenahealth.com/1694/brand/19/csg/48/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 12098 | RI | Yes |
Addresses
Primary practice location
1 High St
Wakefield, RI 02879-3103
Mailing address
170 Westcote Dr
Wakefield, RI 02879-5336
Other providers in Wakefield, RI
- Ryan David Boehm
- Christine Boie
- Carol Bongiovanni
- Mandy Boragine
- Jeffrey W Bouley
- Andrea Brandon
- Neil Brandon
- Breathe Kids Fitness, LLC
- George Frank Brinius
- Adam Ramon Brissenden
All providers in Wakefield, RI · Orthopaedic Surgery Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2010. 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.
- 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.