Active NPI
Tonya Elrod Bradley, MD
- Family Medicine Physician
- Auburn, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 23526
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051507393 | Other | AL | BLUE CROSS BLUE SHIELD AL |
| 051507393 | Medicaid | AL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 23526 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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
- 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.
-
- Multi-Specialty Clinic/Center
- Auburn, AL
- NPI 1013126937
AL
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Troy, AL
- NPI 1366904161
-
- General Acute Care Hospital
- Opelika, AL
- NPI 1154386431
Hospital
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.
Practice addresses (Care Compare)
2353 Bent Creek Rd
Suite 110
Auburn, AL 36830-6482
Phone (334) 887-8707
Hospital & facility affiliations
- Enhabit Home Health
- The East Alabama Healthcare Authority
- Community Hospital Inc
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.