NPIMap

Individual provider Active NPI

Michael Patrick Bradley, M.D.

  • Orthopaedic Surgery Physician
  • Wakefield, RI
National Provider Identifier
1083668883
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
12098 Issued in RI
Practice address
1 High St
Wakefield, RI 02879-3103
Phone
(401) 789-1422
Fax
(401) 782-6810
NPI assigned
May 19, 2006
Last updated
Jun 16, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 12098 RI Primary

Addresses

Primary practice location

1 High St
Wakefield, RI 02879-3103

Mailing address

170 Westcote Dr
Wakefield, RI 02879-5336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, CT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060807000390 RI Practitioner - Orthopedic Surgery 9133122492 Reassigns benefits to 1 organization
I20240502001455 CT Practitioner - Orthopedic Surgery 9133122492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedics Rhode Island IncGroup PAC ID 7012225907, 123 clinicians
Day Kimball Medical Group IncGroup PAC ID 1557514411, 91 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement37
Knee replacement54
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12098RIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedics Rhode Island, Inc CurrentSince Oct 7, 2015 Accepting new patients
Day Kimball Medical Group Inc CurrentSince May 1, 2024 Accepting new patients
Orthopedics Rhode Island, Inc Orthopaedic Surgery Current Accepting new patients
Orthopedics Rhode Island, Inc Orthopaedic Surgery CurrentSince Oct 7, 2015 Accepting new patients
Rhode Island Hospital Past Accepting new patients

Locations

132 Westminster Rd
Canterbury, CT 06331
Phone (860) 546-2225

12 S Main St
Ste 2
Putnam, CT 06260

320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331

35 Kennedy Dr
Putnam, CT 06260
Phone (860) 963-2133

900 Warren Ave
Ste 202
East Providence, RI 02914

1 High St
Wakefield, RI 02879
Phone (401) 789-1422

70 Kenyon Ave
Ste 100
Wakefield, RI 02879

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

  • FHIR API: https://api.platform.athenahealth.com/1694/brand/19/csg/48/fhir/r4
  • Direct secure messaging: michael.bradley.1@1694.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276646400000",
    "number": "1083668883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 WESTCOTE DR",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028795336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HIGH ST",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793103",
            "telephone_number": "401-789-1422",
            "fax_number": "401-782-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "MICHAEL",
        "middle_name": "PATRICK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2010-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "RI",
            "license": "12098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, RI

Sources for this page

Verify at the official NPI Registry.