Individual provider Active NPI

Bradley Todd Escaravage

  • Diagnostic Radiology Physician
  • Richmond, VA
National Provider Identifier
1205070745
Registry record updated Jul 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101255638 Issued in VA
Practice address
1250 E Marshall St
Radiology
Richmond, VA 23298-5051
Phone
(804) 828-6831
Fax
(804) 628-1132
NPI assigned
Apr 28, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0101255638 VA Primary

Addresses

Primary practice location

1250 E Marshall St
Radiology
Richmond, VA 23298-5051

Mailing address

PO Box 91734
Richmond, VA 23291-1734
Phone (804) 358-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150821012703 NC Practitioner - Diagnostic Radiology 8628298486 Reassigns benefits to 2 organizations
I20160826000085 TX Practitioner - Diagnostic Radiology 8628298486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Eastern Virginia Medical School, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina West Radiology PAGroup PAC ID 0042208571, 4 clinicians

Practice addresses (Care Compare)

68 Hospital Rd
Sylva, NC 28779-2722
Phone (828) 586-7164

Hospital & facility affiliations

  • Harris Regional Hospital Hospital, Sylva, NC, CCN 340016
  • DLP Swain County Hospital LLC Hospital, Bryson City, NC, CCN 341305
  • Memorial Mission Hospital and Asheville Surgery Ce Hospital, Asheville, NC, CCN 340002
  • Haywood Regional Medical Center Hospital, Clyde, NC, CCN 340184

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101255638VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Ultrasound Imaging, Inc. CurrentSince Jan 27, 2017 Accepting new patients
DLP Western Carolina Physician Practices LLC Current Accepting new patients
Cherokee Indian Hospital Authority CurrentSince Jan 25, 2024 Accepting new patients
DLP Western Carolina Physician Practices LLC Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
DLP Western Carolina Physician Practices LLC CurrentSince Oct 1, 2024 Accepting new patients
Cherokee Indian Hospital Authority Past Accepting new patients

Locations

1 Vanderbilt Park Dr
Ste 240
Asheville, NC 28803
Phone (828) 274-4567

55 Holly Springs Park Dr
Franklin, NC 28734
Phone (828) 349-3550

68 Hospital Rd
Sylva, NC 28779
Phone (828) 586-7351

70 The Village Overlook
Sylva, NC 28779
Phone (828) 631-1960

98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971

Interoperability endpoints

  • Direct secure messaging: bradley.todd.escaravage.1@9865.direct.athenahealth.com

Organizations & group practices 8

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 4

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": "1240876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406246400000",
    "number": "1205070745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91734",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232911734",
            "telephone_number": "804-358-6100",
            "fax_number": "804-342-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E MARSHALL ST",
            "address_2": "RADIOLOGY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232985051",
            "telephone_number": "804-828-6831",
            "fax_number": "804-628-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCARAVAGE",
        "first_name": "BRADLEY",
        "middle_name": "TODD",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-28",
        "last_updated": "2014-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101255638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.