Active NPI
Kevin Grant Bradley, M.D.
- Diagnostic Radiology Physician
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME84523
- Practice address
- 5149 N 9TH Ave
Suite 120
Pensacola, FL 32504-8756 - Phone
- (850) 479-1805
- Fax
- (850) 479-1829
- NPI assigned
- Nov 21, 2006
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME84523 | FL | |
| Emergency Medicine Physician | 207P00000X | 00027045 | AL | |
| Diagnostic Radiology Physician | 2085R0202X | DR.0065549 | CO | |
| Diagnostic Radiology Physician | 2085R0202X | 00027045 | AL | |
| Diagnostic Radiology Physician | 2085R0202X | ME84523 | FL | Primary |
Addresses
Primary practice location
5149 N 9TH Ave
Suite 120
Pensacola, FL 32504-8756
Mailing address
PO Box 11982
Pensacola, FL 32524-1982
Phone (850) 479-1805
Other practice location 1
1746 Cole Blvd Ste 150
Lakewood, CO 80401-3267
Phone (303) 914-8800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28018 | Other | FL | FLORIDA BLUE |
| 265190400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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
- Diagnostic Radiology
- Education
- University of Florida College of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Pensacola, FL 32504
Phone (303) 914-8800
Key Biscayne, FL 33149
Phone (303) 914-8800
Hospital & facility affiliations
- HCA HealthOne Presbyterian St. Lukes
- Saint Joseph Hospital
- St James Hospital
- HCA Healthone Rose
- Intermountain Health Platte Valley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.89 of 100
- Quality
- 75
- Improvement activities
- 40
- Cost
- 88.31
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME84523 | FL | MD | Emergency Medicine Physician |
| 00027045 | AL | MD | Diagnostic Radiology Physician |
| DR.0065549 | CO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scltdi JV, LLC | Current | Accepting new patients | |
| Scltdi JV, LLC | Current | Accepting new patients | |
| Scltdi JV, LLC | Current | Accepting new patients | |
| Touchstone Imaging of Pensacola, LLC | Current | Accepting new patients | |
| Scltdi JV, LLC | Current | Accepting new patients | |
| Scltdi JV, LLC | Current | Accepting new patients | |
| Touchstone Imaging of Pensacola, LLC | Current | Accepting new patients | |
| Scltdi JV, LLC | Current | Accepting new patients | |
| Scltdi JV, LLC | Current | Accepting new patients | |
| Scltdi JV, LLC | Current | Accepting new patients | |
| Charlotte Radiology P a | Current | Accepting new patients | |
| Touchstone Imaging of Oklahoma, LLC | Current | Accepting new patients | |
| Diversified Radiology of Colorado, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Scltdi JV, LLC | Current | Accepting new patients | |
| Cardiothoracic & Vascular Surgical Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Emergency Medicine Associates of Jackson | Emergency Medicine | Past | Accepting new patients |
| Vicksburg Healthcare LLC | Emergency Medicine | Past | Accepting new patients |
| Central Illinois Radiological Associates, LTD. | Diagnostic Radiology | Past | Accepting new patients |
| Panhandle Emergency Physicians a Div of Sacred Heart Hosp Pensacola | Emergency Medicine | Past | Accepting new patients |
Locations
1746 Cole Blvd
Ste 150
Lakewood, CO 80401
Phone (303) 716-3787
327 Medcrest Dr
Unit B
Crestview, FL 32536
Phone (850) 682-0032
332 Medcrest Dr
Crestview, FL 32536
Phone (850) 226-7322
4012 Commons Dr W
Ste 110
Destin, FL 32541
Phone (850) 473-0990
1824 King St
Ste 200
Jacksonville, FL 32204
Phone (904) 384-3343
5970 Berryhill Rd
Milton, FL 32570
7720 US Highway 98 W
Ste 240
Miramar Beach, FL 32550
Phone (850) 502-5989
4585 E Highway 20
Niceville, FL 32578
Phone (850) 678-0184
2130 E Johnson Ave
Ste 120
Pensacola, FL 32514
Phone (850) 332-6339
2301 N 9th Ave
Ste 100
Pensacola, FL 32503
Phone (850) 912-8249
5149 N 9th Ave
Ste 120
Pensacola, FL 32504
Phone (850) 426-5191
4996 N Davis Hwy
Pensacola, FL 32503
Phone (850) 475-9040
1851 N 9th Ave
Ste B
Pensacola, FL 32503
Phone (850) 479-4223
Interoperability endpoints
- kbradley@cvi.curemd.direct-ci.com
- kbradley2950091@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 20
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.
-
- Diagnostic Radiology Physician
- Lakewood, CO
- NPI 1205923596
FL
-
- Vascular & Interventional Radiology Physician
- Jacksonville, FL
- NPI 1851403125
Diagnostic Radiology
-
- Vascular Surgery Physician
- Pensacola, FL
- NPI 1285888180
-
- Physiological Laboratory
- Valparaiso, FL
- NPI 1093684888
-
- Physiological Laboratory
- Pensacola, FL
- NPI 1255741823
-
- Physiological Laboratory
- Lafayette, CO
- NPI 1184021099
-
- Physiological Laboratory
- Englewood, CO
- NPI 1407253982
-
- Physiological Laboratory
- Castle Rock, CO
- NPI 1457888398
-
- Physiological Laboratory
- Lakewood, CO
- NPI 1497152920
-
- Physiological Laboratory
- Thornton, CO
- NPI 1649677170
-
- Physiological Laboratory
- Billings, MT
- NPI 1659850659
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brighton, CO
- NPI 1629071758
-
- General Acute Care Hospital
- Denver, CO
- NPI 1023062098
-
- General Acute Care Hospital
- Denver, CO
- NPI 1720038946
-
- General Acute Care Hospital
- Littleton, CO
- NPI 1164071296
-
- General Acute Care Hospital
- Denver, CO
- NPI 1417946021
-
- General Acute Care Hospital
- Northglenn, CO
- NPI 1427607464
-
- General Acute Care Hospital
- Aurora, CO
- NPI 1619526746
-
- General Acute Care Hospital
- Butte, MT
- NPI 1528037215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1093880486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11982",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325241982",
"telephone_number": "850-479-1805",
"fax_number": "850-479-1829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5149 N 9TH AVE",
"address_2": "SUITE 120",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048756",
"telephone_number": "850-479-1805",
"fax_number": "850-479-1829"
}
],
"practiceLocations": [
{
"address_1": "1746 Cole Blvd Ste 150",
"address_purpose": "LOCATION",
"city": "Lakewood",
"state": "CO",
"postal_code": "804013267",
"country_code": "US",
"telephone_number": "303-914-8800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRADLEY",
"first_name": "KEVIN",
"middle_name": "GRANT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME84523",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AL",
"license": "00027045",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CO",
"license": "DR.0065549",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AL",
"license": "00027045",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME84523",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BLUE",
"identifier": "28018",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "265190400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.