Matthew Bradley, MD
Individual provider Active NPI Psychiatry Physician · Providence, RI
NPI 1225523947 · NPPES record last updated Jun 25, 2018
Key facts
- NPI
- 1225523947
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- LP04381 (RI)
- Practice address
- 345 Blackstone Blvd
Providence, RI 02906-4800 - Phone
- (401) 455-6200
- NPI assigned
- Jun 25, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sturdy Memorial Hospital Inc
Practice addresses (Care Compare)
211 Park St
Attleboro, MA 02703-3143
Phone (508) 236-8110
Hospital & facility affiliations
- Sturdy Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.49 of 100
- Quality
- 69.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.15
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220721001359 | MA | Practitioner - Psychiatry | 9830440544 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The McLean Hospital Corporation | Psychiatry | Current |
Accepting new patients |
| Sturdy Memorial Hospital Inc | Current |
Accepting new patients | |
| The McLean Hospital Corporation | Past | Accepting new patients | |
| Sturdy Health, Inc. | Past | Accepting new patients |
Locations
115 Mill St
Belmont, MA 02478
Phone (617) 855-2000
23 Isaac St
Middleboro, MA 02346
Phone (774) 419-1000
211 Park St
South Attleboro, MA 02703
Phone (508) 222-5200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | LP04381 | RI | Yes |
Addresses
Primary practice location
345 Blackstone Blvd
Providence, RI 02906-4800
Mailing address
345 Blackstone Blvd
Providence, RI 02906-4800
Other providers in Providence, RI
- Ashley Anne Brack
- Rebecca Diane Braden
- William Braden
- Diana L Bradford
- Nicholas Bradford
- Amanda Bradshaw
- Frances Veronica Bradshaw
- Lee M Bradshaw
- Edward P Brady
- Kayla Nicole Brady
All providers in Providence, RI · Psychiatry Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.