NPIMap

Individual provider Active NPI

Bradley Dillon, NP

  • Nurse Practitioner
  • Corinth, MS
National Provider Identifier
1184130692
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
902456 Issued in MS
Practice address
2601 Getwell Rd Ste 4
Corinth, MS 38834-6762
Phone
(662) 643-4533
NPI assigned
Dec 19, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 902456 MS Primary

Addresses

Primary practice location

2601 Getwell Rd Ste 4
Corinth, MS 38834-6762

Mailing address

103 Caitlyn Dr
Saltillo, MS 38866-8103
Phone (662) 574-7595

Other practice location 1

206 Oxford Rd
New Albany, MS 38652-3115
Phone (662) 534-2227

Other practice location 2

3952 N Gloster St Ste C
Tupelo, MS 38804-0913
Phone (662) 350-0737

Other identifiers 1

IdentifierTypeStateIssuer
01155847MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20180131002635 MS Practitioner - Nurse Practitioner 0749540227 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ortho Express Holding Company, LLC 14 clinicians

Practice addresses (Care Compare)

2601 Getwell Rd
Suite 4
Corinth, MS 38834-6762
Phone (662) 643-4533

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Tupelo, MS, CCN 257303
  • Magnolia Regional Health Center Hospital, Corinth, MS, CCN 250009
  • Baptist Memorial Hospital Booneville Hospital, Booneville, MS, CCN 250044

Merit-based Incentive Payment System (MIPS)

Final score
85.85 of 100Reported as group
Quality
82.18
Promoting interoperability
92
Improvement activities
40
Cost
74.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
902456MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ortho Express Holding Company, LLC Nurse Practitioner CurrentSince Jun 1, 2020 Accepting new patients
Spartan Orthopaedics, LLC Nurse Practitioner CurrentSince Dec 26, 2017 Accepting new patients
Ortho Express Holding Company, LLC Nurse Practitioner CurrentSince Dec 26, 2017 Accepting new patients
Orthoxpress Holdings, LLC Nurse Practitioner CurrentSince Jun 1, 2020 Accepting new patients
Ortho Express Holding Company LLC Nurse Practitioner Past Accepting new patients

Locations

2601 Getwell Rd
Ste 4
Corinth, MS 38834
Phone (662) 643-4533

206 Oxford Rd
New Albany, MS 38652
Phone 6625342298223

823 Highway 12 W
Ste C
Starkville, MS 39759
Phone (662) 268-8221

3952C N Gloster St
Tupelo, MS 38804
Phone (662) 350-0737

3952 N Gloster St
#C
Tupelo, MS 38804
Phone (662) 350-0737

Interoperability endpoints

  • Direct secure messaging: bradley.dillon.2@11099.direct.athenahealth.com
  • Direct secure messaging: bradley.dillon.1@11099.direct.athenahealth.com

Organizations & group practices 10

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": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1184130692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CAITLYN DR",
            "city": "SALTILLO",
            "state": "MS",
            "postal_code": "388668103",
            "telephone_number": "662-574-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 GETWELL RD STE 4",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388346762",
            "telephone_number": "662-643-4533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 Oxford Rd",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "MS",
            "postal_code": "386523115",
            "country_code": "US",
            "telephone_number": "662-534-2227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3952 N Gloster St Ste C",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388040913",
            "country_code": "US",
            "telephone_number": "662-350-0737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILLON",
        "first_name": "BRADLEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-19",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "902456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01155847",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

Verify at the official NPI Registry.