Individual provider Active NPI

Kevin Grant Bradley, M.D.

  • Diagnostic Radiology Physician
  • Pensacola, FL
National Provider Identifier
1093880486
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME84523 Issued in FL
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

Updated by the provider on May 8, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
28018OtherFLFLORIDA BLUE
265190400MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041123001132 FL Practitioner - Diagnostic RadiologyPractitioner - Emergency MedicinePractitioner - Interventional Radiology 8022073501 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of Florida College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diversified Radiology of Colorado IncGroup PAC ID 0143132316, 92 clinicians

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 Hospital, Denver, CO, CCN 060014
  • Saint Joseph Hospital Hospital, Denver, CO, CCN 060028
  • St James Hospital Hospital, Butte, MT, CCN 270017
  • HCA Healthone Rose Hospital, Denver, CO, CCN 060032
  • Intermountain Health Platte Valley Hospital Hospital, Brighton, CO, CCN 060004

Merit-based Incentive Payment System (MIPS)

Final score
83.89 of 100Reported as group
Quality
75
Improvement activities
40
Cost
88.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME84523FLMDEmergency Medicine Physician
00027045ALMDDiagnostic Radiology Physician
DR.0065549COMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scltdi JV, LLC CurrentSince Sep 1, 2020 Accepting new patients
Scltdi JV, LLC CurrentSince Sep 1, 2020 Accepting new patients
Scltdi JV, LLC CurrentSince Sep 30, 2024 Accepting new patients
Touchstone Imaging of Pensacola, LLC CurrentSince Mar 1, 2020 Accepting new patients
Scltdi JV, LLC CurrentSince Sep 1, 2020 Accepting new patients
Scltdi JV, LLC CurrentSince Sep 1, 2020 Accepting new patients
Touchstone Imaging of Pensacola, LLC CurrentSince May 5, 2026 Accepting new patients
Scltdi JV, LLC CurrentSince Sep 1, 2020 Accepting new patients
Scltdi JV, LLC CurrentSince Sep 1, 2020 Accepting new patients
Scltdi JV, LLC CurrentSince Sep 1, 2020 Accepting new patients
Charlotte Radiology P a CurrentSince Feb 1, 2025 Accepting new patients
Touchstone Imaging of Oklahoma, LLC CurrentSince Mar 6, 2024 Accepting new patients
Diversified Radiology of Colorado, Inc Diagnostic Radiology CurrentSince Jan 15, 2024 Accepting new patients
Scltdi JV, LLC CurrentSince Sep 1, 2020 Accepting new patients
Cardiothoracic & Vascular Surgical Associates PA Diagnostic Radiology CurrentSince Apr 1, 2021 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 PastSince Mar 18, 2022 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

  • Direct secure messaging: kbradley@cvi.curemd.direct-ci.com
  • Direct secure messaging: 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.

View all 20

Hospital & facility affiliations 9

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": "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

Verify at the official NPI Registry.