Active NPI
Yong C Bradley, M.D.
- Diagnostic Radiology Physician
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD46690
- Practice address
- 1924 Alcoa Hwy
Knoxville, TN 37920-1511 - Phone
- (865) 305-9661
- Fax
- (865) 305-6148
- NPI assigned
- Jan 27, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Radiology Physician | 2085N0904X | L2150 | TX | |
| Diagnostic Radiology Physician | 2085R0202X | MD46690 | TN | Primary |
Addresses
Primary practice location
1924 Alcoa Hwy
Knoxville, TN 37920-1511
Mailing address
2240 Sutherland Ave, Ste 107
Knoxville, TN 37919-2333
Phone (865) 584-7376
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1523570 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, NC, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Medical College of Georgia School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1814 Westchester Dr
Suite 100
High Point, NC 27262-7369
Phone (336) 802-2175
Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734
Hospital & facility affiliations
- North Carolina Baptist Hospital
- High Point Regional Health System
- Hugh Chatham Memorial Hospital
- Lexington Memorial Hospital Inc
- Wilkes Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L2150 | TX | MD | Nuclear Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest Baptist Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Wake Forest Baptist Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Wake Forest University Health Sciences | Current | Accepting new patients | |
| Wake Forest Health Network, LLC | Current | Accepting new patients | |
| Wake Forest Health Network LLC | Current | Accepting new patients | |
| Wake Forest Baptist Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Wake Forest Health Network LLC | Diagnostic Radiology | Current | Accepting new patients |
Locations
1814 Westchester Dr
Ste 100
High Point, NC 27262
Phone (336) 802-2397
905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040
861 Old Winston Rd
Ste 105
Kernersville, NC 27284
Phone (336) 765-5722
265 Executive Park Blvd
Winston Salem, NC 27103
Phone (336) 765-5722
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947
Interoperability endpoints
- ybradley2754264@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 9
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.
-
- Pediatrics Physician
- Greensboro, NC
- NPI 1477785756
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
-
- Radiology Clinic/Center
- Winston Salem, NC
- NPI 1972763357
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Knoxville, TN
- NPI 1619088697
VA
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Diagnostic Radiology Physician
- Greensboro, NC
- NPI 1841049913
-
- Diagnostic Radiology Physician
- High Point, NC
- NPI 1265679179
-
- Pediatrics Physician
- Greensboro, NC
- NPI 1053175299
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- High Point, NC
- NPI 1396746228
-
- General Acute Care Hospital
- Elkin, NC
- NPI 1942361308
-
- General Acute Care Hospital
- Lexington, NC
- NPI 1417958331
-
- Psychiatric Hospital Unit
- Winston Salem, NC
- NPI 1063480531
-
- Rehabilitation Hospital Unit
- Winston Salem, NC
- NPI 1114995677
-
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1144211301
-
- Clinical Medical Laboratory
- Winston Salem, NC
- NPI 1609162098
Hospital
-
- Pediatric Adolescent Medicine Physician
- Winston Salem, NC
- NPI 1912179219
Hospital
-
- General Acute Care Hospital
- North Wilkesboro, NC
- NPI 1881614071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1114998366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2240 SUTHERLAND AVE, STE 107",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379192333",
"telephone_number": "865-584-7376",
"fax_number": "865-584-8938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1924 ALCOA HWY",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379201511",
"telephone_number": "865-305-9661",
"fax_number": "865-305-6148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "YONG",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "TX",
"license": "L2150",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TN",
"license": "MD46690",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1523570",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.