Amy Ann Bradbury, PA-C
Individual provider Active NPI Physician Assistant · Sheffield Village, OH
NPI 1245515360 · NPPES record last updated Dec 20, 2012
Key facts
- NPI
- 1245515360
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 50.003393 (OH)
- Practice address
- 5334 Meadow Lane CT
Sheffield Village, OH 44035-1469 - Phone
- (440) 934-5454
- Fax
- (440) 934-8999
- NPI assigned
- Oct 20, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 38
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Metrohealth System
Cleveland Clinic
Practice addresses (Care Compare)
20575 Ctr Ridge Rd
Rocky River, OH 44116-3422
Phone (216) 265-8810
24700 Lorain Rd
North Olmsted, OH 44070-2068
2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-7800
27089 Bagley Rd
Olmsted TWP, OH 44138-1103
Phone (440) 234-4700
303 Chestnut Commons Dr
Elyria, OH 44035-9607
Phone (440) 366-9444
5700 Cooper Foster Park Rd W
Lorain, OH 44053-4152
Phone (440) 204-7400
7580 Northcliff Ave
Suite 700
Brooklyn, OH 44144-3271
Phone (216) 444-2200
8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950
9500 Euclid Ave
Cleveland, OH 44195-0001
Hospital & facility affiliations
- Metrohealth System
- Cleveland Clinic
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170407000957 | OH | Practitioner - Physician Assistant | 2365618014 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TC061 | KY | MD | Physician Assistant |
| 50.003393 | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Cleveland Clinic Foundation | Current |
Accepting new patients | |
| The Metrohealth System | Current | Accepting new patients | |
| The Metrohealth System | Current |
Accepting new patients |
Locations
5208 Memphis Ave
Cleveland, OH 44144
Phone (216) 398-0100
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348
5334 Meadow Lane Ct
Sheffield Village, OH 44035
Phone (440) 934-5454
Interoperability endpoints
- abradbury272368@direct.metrohealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | TC061 | KY | |
| Physician Assistant | 363A00000X | 50.003393 | OH | Yes |
Addresses
Primary practice location
5334 Meadow Lane CT
Sheffield Village, OH 44035-1469
Mailing address
5334 Meadow Lane CT
Sheffield Village, OH 44035-1469
Phone (440) 934-5454
Other providers in Sheffield Village, OH
- Robert Jon Berkowitz
- Rebecca Terese Biro
- Mary Carpenter Boia
- Brittney Renee Bolton
- Bonnie Stamatis, MD Inc
- Jessica Brake
- Jarod Bronstrup
- Dequan Artrell Brown
- Sarah Ashley Brown
- Beth Brutout
All providers in Sheffield Village, OH · Physician Assistant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2012. 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.