Thomas Hal Bradford, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

C7898 Issued in AR

Practice address

3000 N. Market Ave.
Suite E
Fayetteville, AR 72703-3507

Phone

(479) 444-1440

Fax

(479) 444-1447

NPI assigned

May 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Obstetrics/Gynecology

Education

University of Arkansas College of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tbradford23193@washingtonregional.direct-ci.com

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.

• Hal Bradford MD PA

  • Specialist
  • Fayetteville, AR
  • NPI 1265767859

  AR

  Medicare reassignment NPD Authorized official
• Washington Regional Medical System

  • Obstetrics & Gynecology Physician
  • Fayetteville, AR
  • NPI 1760432629

  Obstetrics & Gynecology

  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331856000000",
    "number": "1174579833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N. MARKET AVE.",
            "address_2": "SUITE E",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033507",
            "telephone_number": "479-444-1440",
            "fax_number": "479-444-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N. MARKET AVE.",
            "address_2": "SUITE E",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033507",
            "telephone_number": "479-444-1440",
            "fax_number": "479-444-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "THOMAS",
        "middle_name": "HAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2012-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "C7898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124896001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE",
            "identifier": "5J353",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Keith Bracy, M.D.
• Brad H. Green D.D.S., P.a.
• Blaire Bradbury, LAC
• Erin Elizabeth Bradford, MS, OTR/L
• Makenzie Faith Bradford, OT
• Bradley R Crossfield DDS of Northwest Arkansas PLLC
• Amy Grace Bradley, M.S, CCC-SLP
• Courtney L Bradley
• Katelyn Nicole Bradley
• Lakisha M. Bradley, LAC

• All providers in Fayetteville, AR
• Obstetrics & Gynecology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; 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.

Verify at the official NPI Registry.