Active NPI
Sarah Bradley, M.D.
- Obstetrics Physician
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 036.143327
- Practice address
- 1401 E State St
Rockford, IL 61104-2315 - Phone
- (779) 696-4400
- NPI assigned
- Jul 2, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 141479 | NC | |
| Obstetrics & Gynecology Physician | 207V00000X | 55698 | WI | |
| Obstetrics Physician | 207VX0000X | 036.143327 | IL | Primary |
Addresses
Primary practice location
1401 E State St
Rockford, IL 61104-2315
Mailing address
PO Box 78866
Milwaukee, WI 53278-8866
Phone (779) 696-7150
Other practice location 1
4122 East Towne Blvd
Madison, WI 53704-3732
Phone (608) 242-6840
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sbradley550745@direct.uwhealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- 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 |
|---|---|---|---|---|
| I20191118003220 | IL | Practitioner - Obstetrics/Gynecology | 9830375211 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.51 of 100
- Quality
- 83.2
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 71.7
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 141479 | NC | MD | Obstetrics & Gynecology Physician |
| 036.143327 | IL | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedishamerican Hospital | Current | Accepting new patients | |
| Swedishamerican Hospital | Current | Accepting new patients | |
| Swedishamerican Hospital | Current | Accepting new patients |
Locations
1401 E State St
Rockford, IL 61104
Phone (815) 489-4267
6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610
2550 Charles St
Rockford, IL 61108
Phone (779) 696-7285
600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325
Interoperability endpoints
- sbradley550745@direct.uwhealth.org
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618444800000",
"number": "1124225073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 78866",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532788866",
"telephone_number": "779-696-7150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 E STATE ST",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611042315",
"telephone_number": "779-696-4400"
}
],
"practiceLocations": [
{
"address_1": "4122 East Towne Blvd",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537043732",
"country_code": "US",
"telephone_number": "608-242-6840",
"fax_number": "608-245-6117",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRADLEY",
"first_name": "SARAH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-02",
"last_updated": "2021-04-15",
"certification_date": "2021-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NC",
"license": "141479",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WI",
"license": "55698",
"primary": false
},
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "IL",
"license": "036.143327",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sbradley550745@direct.uwhealth.org",
"affiliation": "N",
"address_1": "1401 E State St",
"city": "Rockford",
"state": "IL",
"country_code": "US",
"postal_code": "611042315",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.