NPIMap

Individual provider Active NPI

Bradford P Garner, MD

  • Family Medicine Physician
  • Aurora, MO
National Provider Identifier
1164462602
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2009001435 Issued in MO
Practice address
550 S Hudson Ave
Aurora, MO 65605-2362
Phone
(417) 678-5176
Fax
(417) 678-0675
NPI assigned
Jun 6, 2006
Last updated
Jan 19, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6533 KS
Family Medicine Physician 207Q00000X 2009001435 MO Primary

Addresses

Primary practice location

550 S Hudson Ave
Aurora, MO 65605-2362

Mailing address

PO Box 2580
Springfield, MO 65801-2580
Phone (417) 820-0289

Other identifiers 4

IdentifierTypeStateIssuer
431560263OtherTRICARE WEST
1164462602MedicaidMO
105594OtherKSBLUE CROSS BLUE SHIELD
P00748476OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20090910000275 MO Practitioner - Family Practice 0345391835 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians
Cherry Health Center, LLCGroup PAC ID 1355317033, 97 clinicians

Practice addresses (Care Compare)

1 N College Ave
MC Family Medicine Marionville
Marionville, MO 65705-9269
Phone (417) 463-7301

1605 Martin Springs Dr
Rolla, MO 65401-2980

2115 S Fremont Ave
3050 MC Infectious Disease Whiteside
Springfield, MO 65804-2236
Phone (417) 820-3905

22361 Oak Ridge Dr
Shell Knob, MO 65747-7822
Phone (417) 858-3731

332 S Main Ave
MC Family Medicine Republic
Republic, MO 65738-1861
Phone (417) 732-5050

500 Porter Ave
Aurora, MO 65605-2365
Phone (417) 820-5750

607 W Battlefield St
Springfield, MO 65807-4123
Phone (417) 869-2000

721 E Highland St
Aurora, MO 65605-2365
Phone (417) 308-2278

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy19
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6533KSMDSocial Worker
2009001435MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities Family Medicine CurrentSince Aug 3, 2009 Accepting new patients
Mercy Clinic Springfield Communities Family Medicine CurrentSince Apr 9, 2018 Accepting new patients
Mercy Hospital Aurora Current Accepting new patients
Mercy Clinic Springfield Communities Family Medicine CurrentSince Aug 3, 2009 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

550 S Hudson Ave
Aurora, MO 65605
Phone (417) 678-0632

94 Main St
Cassville, MO 65625
Phone (417) 782-7722

332 S Main Ave
Republic, MO 65738
Phone (417) 432-5058

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

Interoperability endpoints

  • Direct secure messaging: bgarner103858@directc.mercy.net
  • Direct secure messaging: bgarner93823@directb.mercy.net

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263859200000",
    "number": "1164462602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2580",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658012580",
            "telephone_number": "417-820-0289",
            "fax_number": "417-820-0437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S HUDSON AVE",
            "city": "AURORA",
            "state": "MO",
            "postal_code": "656052362",
            "telephone_number": "417-678-5176",
            "fax_number": "417-678-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNER",
        "first_name": "BRADFORD",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2010-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "6533",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2009001435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE WEST",
            "identifier": "431560263",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164462602",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "105594",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00748476",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, MO

Sources for this page

Verify at the official NPI Registry.