Individual provider Active NPI

Tonya Elrod Bradley, MD

  • Family Medicine Physician
  • Auburn, AL
National Provider Identifier
1114990140
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23526 Issued in AL
Practice address
2353 Bent Creek Rd
Ste 110
Auburn, AL 36830-6482
Phone
(334) 887-8707
Fax
(334) 887-8706
NPI assigned
Feb 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 23526 AL Primary

Addresses

Primary practice location

2353 Bent Creek Rd
Ste 110
Auburn, AL 36830-6482

Mailing address

2353 Bent Creek Rd Ste 110
Auburn, AL 36830-6482
Phone (334) 887-8707

Other identifiers 2

IdentifierTypeStateIssuer
051507393OtherALBLUE CROSS BLUE SHIELD AL
051507393MedicaidAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tonyabradley@apaam.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20080805000465 AL Practitioner - Family Practice 3870667181 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23526ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital, Inc Family Medicine Current Accepting new patients

Locations

115 Herren Hill Rd
Tallassee, AL 36078
Phone (334) 246-4774

805 Friendship Rd
Tallassee, AL 36078
Phone (334) 283-6541

Interoperability endpoints

  • Direct secure messaging: tonyabradley@apaam.allscriptsdirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Auburn Pediatric and Adult Medicine, L.L.C. 18 clinicians

Practice addresses (Care Compare)

2353 Bent Creek Rd
Suite 110
Auburn, AL 36830-6482
Phone (334) 887-8707

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Troy, AL, CCN 017324
  • The East Alabama Healthcare Authority Hospital, Opelika, AL, CCN 010029
  • Community Hospital Inc Hospital, Tallassee, AL, CCN 010034

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1114990140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2353 BENT CREEK RD STE 110",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368306482",
            "telephone_number": "334-887-8707",
            "fax_number": "334-887-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2353 BENT CREEK RD",
            "address_2": "STE 110",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368306482",
            "telephone_number": "334-887-8707",
            "fax_number": "334-887-8706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "TONYA",
        "middle_name": "ELROD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "23526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD AL",
            "identifier": "051507393",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051507393",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tonyabradley@apaam.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2353 BENT CREEK RD",
            "address_2": "STE 110",
            "city": "AUBURN",
            "state": "AL",
            "country_code": "US",
            "postal_code": "368306482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

Verify at the official NPI Registry.