NPIMap

Individual provider Active NPI

Bradley Joseph Sipley, P.A.

  • Surgical Physician Assistant
  • Edina, MN
National Provider Identifier
1124251418
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
10673 Issued in MN
Practice address
8100 W 78TH St
Suite 225
Edina, MN 55439-2516
Phone
(952) 946-9777
Fax
(952) 946-9888
NPI assigned
Sep 2, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1318 MN
Surgical Physician Assistant 363AS0400X 10673 MN Primary

Addresses

Primary practice location

8100 W 78TH St
Suite 225
Edina, MN 55439-2516

Mailing address

8100 W 78TH St
Suite 225
Edina, MN 55439-2516
Phone (952) 946-9777

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bsipley103196@excellian.direct.allina.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100225000218 MN Practitioner - Physician Assistant 2062556277 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians

Practice addresses (Care Compare)

2800 Chicago Ave
Suite 250
Minneapolis, MN 55407-1355
Phone (612) 863-4096

2805 Campus Dr
Suite 465
Plymouth, MN 55441-2680
Phone (952) 946-9777

2925 Chicago Ave
Minneapolis, MN 55407-1321

440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225

800 E 28TH St
Minneapolis, MN 55407-3723

8100 W 78TH St
Suite 230
Edina, MN 55439-2570
Phone (952) 946-9777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
72.5
Promoting interoperability
100
Improvement activities
40
Cost
77.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1318MNMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System CurrentSince Dec 31, 2022 Accepting new patients
Allina Health System CurrentSince Jan 1, 2010 Accepting new patients
Allina Health System CurrentSince Jan 1, 2010 Accepting new patients
Allina Health System Past Accepting new patients

Locations

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

8100 W 78th St
Ste 225
Minneapolis, MN 55439
Phone (952) 210-6765

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547

8100 W 78th St
Ste 230
Minneapolis, MN 55439
Phone (952) 248-5970

2855 Campus Dr
Ste 400
Plymouth, MN 55441
Phone (612) 577-7400

2805 Campus Dr
Ste 465
Plymouth, MN 55441
Phone (763) 577-7400

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1124251418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 W 78TH ST",
            "address_2": "SUITE 225",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392516",
            "telephone_number": "952-946-9777",
            "fax_number": "952-946-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 W 78TH ST",
            "address_2": "SUITE 225",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392516",
            "telephone_number": "952-946-9777",
            "fax_number": "952-946-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIPLEY",
        "first_name": "BRADLEY",
        "middle_name": "JOSEPH",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-02",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "1318",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MN",
            "license": "10673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bsipley103196@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "8100 W 78th St Ste 230",
            "city": "Edina",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554392570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.