Bradley Stephen Green, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD42493 Issued in AL

Practice address

1026 Goodyear Ave Ste 100
Gadsden, AL 35903-1194

Phone

(256) 492-8256

Fax

(256) 492-8271

NPI assigned

Apr 12, 2017

Last updated

Dec 20, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AL

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

Family Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gadsden Regional Physician Group Practice LLCGroup PAC ID 1254497670, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gadsden Regional Medical Center Hospital, Gadsden, AL, CCN 010040

Merit-based Incentive Payment System (MIPS)

Final score

87.97 of 100Reported as apm

Quality

75.95

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bradley.green.1@1831.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/1831/brand/1/csg/25/fhir/r4

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.

• Gadsden Regional Physician Group Practice LLC

  • Internal Medicine Physician
  • Gadsden, AL
  • NPI 1558506550

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Gadsden Regional Medical Center LLC

  dba Gadsden Regional Medical Center

  • General Acute Care Hospital
  • Gadsden, AL
  • NPI 1225081516
  NPD (past)
• Gadsden Regional Primary Care LLC

  • Family Medicine Physician
  • Rainbow City, AL
  • NPI 1972566743
  NPD (past)
• Allergy Associates, Inc

  • Allergy & Immunology Physician
  • Chesterfield, MO
  • NPI 1326191537
  NPD (past)

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

• Gadsden Regional Medical Center LLC

  dba Gadsden Regional Medical Center

  • General Acute Care Hospital
  • Gadsden, AL
  • NPI 1225081516
  Care Compare affiliation

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1205360666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 GOODYEAR AVE STE 100",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031194",
            "telephone_number": "256-492-8256",
            "fax_number": "256-492-8271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 GOODYEAR AVE STE 100",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031194",
            "telephone_number": "256-492-8256",
            "fax_number": "256-492-8271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "BRADLEY",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-12",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD42493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bradley.green.1@1831.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "1026 Goodyear Ave Ste 100",
            "city": "Gadsden",
            "state": "AL",
            "country_code": "US",
            "postal_code": "359031194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brooke Leann Gorham, D.P.M.
• Billy Barrett Gravitt, DMD
• Cody Barry Gray, CRNP
• Mallory Gray, RPT
• Greater Etowah Mental Retardation 310 Board, Inc.
• Brandi Suzanne Green, OTR/L
• Lisa Dobbins Green, CRNA
• Megan Green, BCBA
• Susan K Green, RPH
• William F Green, PH.D.

• Family Medicine Physician in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.