Individual provider Active NPI

Bradley Gaddis, D.O.

  • Surgery Physician
  • Ocoee, FL
National Provider Identifier
1134501646
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
OS16558 Issued in FL
Practice address
10000 W Colonial Dr Ste 393
Ocoee, FL 34761-3433
Phone
(407) 296-1871
NPI assigned
Jun 19, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X OS16558 FL Primary

Addresses

Primary practice location

10000 W Colonial Dr Ste 393
Ocoee, FL 34761-3433

Mailing address

9513 Lake Hugh Dr
Gotha, FL 34734-4630
Phone (205) 310-8812

Other practice location 1

17000 Porter Rd Ste 201
Winter Garden, FL 34787-8915
Phone (407) 296-1871

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bradley.gaddis@orlandohealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200603000226 FL Practitioner - General Surgery 8729409594 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Lincoln Memorial University Medical Department, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

10000 W Colonial Dr
Suite 393
Ocoee, FL 34761-3433
Phone (321) 841-6444

Hospital & facility affiliations

  • Orlando Health-Health Central Hospital Hospital, Ocoee, FL, CCN 100030
  • Orlando Health Hospital, Orlando, FL, CCN 100006

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Oct 1, 2021 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Oct 1, 2021 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Florida Surgical Specialists Surgery CurrentSince Jul 1, 2020 Accepting new patients

Locations

607 Manatee Ave E
Ste 102
Bradenton, FL 34208
Phone (941) 216-3602

10000 W Colonial Dr
Ste 393
Ocoee, FL 34761
Phone (407) 296-1871

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

17000 Porter Rd
Ste 201
Winter Garden, FL 34787
Phone (407) 635-3058

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GHDBDA
  • Direct secure messaging: bgaddis294755@orlandohealth.medalliesdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1134501646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9513 LAKE HUGH DR",
            "city": "GOTHA",
            "state": "FL",
            "postal_code": "347344630",
            "telephone_number": "205-310-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 W COLONIAL DR STE 393",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613433",
            "telephone_number": "407-296-1871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17000 Porter Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Winter Garden",
            "state": "FL",
            "postal_code": "347878915",
            "country_code": "US",
            "telephone_number": "407-296-1871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GADDIS",
        "first_name": "BRADLEY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-19",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "OS16558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bradley.gaddis@orlandohealth.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "address_1": "10000 W Colonial Dr Ste 393",
            "city": "Ocoee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347613433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

Verify at the official NPI Registry.