Active NPI
Bradley Jon Haupricht Jr., M.D.
- Family Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01069000A
- Practice address
- 64 Bleecker St # 151
New York, NY 10012-2410 - Phone
- (313) 509-8683
- NPI assigned
- Jul 1, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01069000A | IN | Primary |
Addresses
Primary practice location
64 Bleecker St # 151
New York, NY 10012-2410
Mailing address
64 Bleecker St # 151
New York, NY 10012-2410
Phone (313) 509-8683
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, CT, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01069000A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galileo Medical Group Ga, P.C. | Family Medicine | Current | Accepting new patients |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Icem-Ball, LLC | Past | Accepting new patients |
Locations
4300 Paces Ferry Rd SE
Ste 500
Atlanta, GA 30339
Phone (404) 496-8960
64 Bleecker St
New York, NY 10012
Phone (302) 313-1584
1971 University Blvd
Lynchburg, VA 24515
Phone (434) 582-2000
14005 Wards Rd
Lynchburg, VA 24501
Phone (434) 239-0132
2019 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 845-7035
1971 University Blvd
Ste 1895
Lynchburg, VA 24515
Phone (434) 338-7774
2321 Wards Rd
Lynchburg, VA 24502
Phone (434) 582-2273
8644 Sudley Rd
#220
Manassas, VA 20110
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- bradley.haupricht@450368864321540.direct.elationemr.com
Organizations & group practices 4
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.
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- NPI 1316273691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608076800000",
"number": "1083876981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 BLEECKER ST # 151",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100122410",
"telephone_number": "313-509-8683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 BLEECKER ST # 151",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100122410",
"telephone_number": "313-509-8683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUPRICHT",
"first_name": "BRADLEY",
"middle_name": "JON",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-01",
"last_updated": "2020-12-16",
"certification_date": "2020-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01069000A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.