Active NPI
Bradley Matthew White, D.O.
- Vascular & Interventional Radiology Physician
- Decatur, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 105153
- Practice address
- 2711 Irvin Way
Suite 102
Decatur, GA 30030-5405 - Phone
- (678) 344-8900
- Fax
- (678) 666-5201
- NPI assigned
- Feb 15, 2016
- Last updated
- Sep 4, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 105153 | GA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 105153 | GA | Primary |
Addresses
Primary practice location
2711 Irvin Way
Suite 102
Decatur, GA 30030-5405
Mailing address
1551 Janmar Rd
Snellville, GA 30078-5606
Phone (678) 344-8900
Other practice location 1
2711 Irvin Way Suite 101
Decatur, GA 30030-5405
Phone (678) 344-8900
Other practice location 2
5315 Flynn Crossing Drive
Alpharetta, GA 30005-1796
Phone (678) 344-8900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Lake Erie Col of Osteopathic Medicine, Bradenton, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12780 Race Track Rd
Suite 100
Tampa, FL 33626-1395
Phone (813) 749-7810
1557 Janmar Rd
Snellville, GA 30078-5686
Phone (678) 344-8900
2470 Bloomingdale Ave
Suite 115
Valrico, FL 33596-6403
Phone (727) 281-9390
41 Tamiami Canal Rd
Miami, FL 33144-2538
Phone (305) 392-0094
5315 Flynn Crossing Dr
Alpharetta, GA 30005-1796
Phone (678) 344-8900
711 S Dale Mabry Hwy
Tampa, FL 33609-4445
Phone (813) 259-1900
8787 Bryan Dairy Rd
Largo, FL 33777-1251
Phone (727) 391-4758
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105153 | GA | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MD Now Medical Centers Inc | Current | Accepting new patients | |
| Advanced Urology Institute of Georgia, LLC | Current | Accepting new patients | |
| Baycare Outpatient Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| MD Now Medical Centers Inc | Current | Accepting new patients | |
| Morton Plant Mease Health Services Inc | Diagnostic Radiology | Current | Accepting new patients |
| Baycare Outpatient Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Baycare Outpatient Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Morton Plant Mease Health Services Inc | Diagnostic Radiology | Current | Accepting new patients |
| St Josephs Diagnostic Center LLC | Diagnostic Radiology | Current | Accepting new patients |
| Morton Plant Mease Health Services Inc | Diagnostic Radiology | Current | Accepting new patients |
| Advanced Urology Institute of Georgia, LLC | Current | Accepting new patients | |
| St Joseph's Diagnostic Center LLC | Diagnostic Radiology | Current | Accepting new patients |
| CT-MRI of South Florida LLC | Diagnostic Radiology | Current | Accepting new patients |
| Advanced Urology Institute of Georgia | Past | Accepting new patients | |
| Advanced Vascular and Vein, PC | Vascular & Interventional Radiology | Past | Accepting new patients |
Locations
2272 N Congress Ave
Boynton Beach, FL 33426
Phone (561) 737-1927
4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141
18600 Fernview St
Ste 101
Land O Lakes, FL 34638
Phone (813) 692-8010
41 Tamiami Canal Rd
Miami, FL 33144
Phone (305) 269-0833
1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141
3890 Tampa Rd
#H
Palm Harbor, FL 34684
Phone (813) 781-3164
8787 Bryan Dairy Rd
Seminole, FL 33777
Phone (727) 391-4758
12780 Race Track Rd
Ste 100
Tampa, FL 33626
Phone (813) 749-7810
3003 W Mlk Blvd
Tampa, FL 33607
Phone (813) 357-0630
2102 Trinity Oaks Blvd
Trinity, FL 34655
Phone (727) 372-4000
2470 Bloomingdale Ave
Ste 115
Valrico, FL 33596
Phone (727) 281-9479
2007 Palm Beach Lakes Blvd
West Palm Beach, FL 33409
5315 Flynn Crossing Dr
Alpharetta, GA 30005
2711 Irvin Way
Ste 101
Decatur, GA 30030
2711 Irvin Way
Ste 102
Decatur, GA 30030
1551 Janmar Rd
Snellville, GA 30078
1557 Janmar Rd
Snellville, GA 30078
Phone (404) 348-4421
1800 Tree Ln
Ste 280
Snellville, GA 30078
Phone (404) 919-4876
Networks
- Optimum HealthCare HMO Network
Organizations & group practices 18
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.
-
- Urology Physician
- Snellville, GA
- NPI 1073896510
-
- Diagnostic Radiology Physician
- Valrico, FL
- NPI 1417423377
-
dba Boi Bardmoor
- Diagnostic Radiology Physician
- Largo, FL
- NPI 1528049962
-
dba BayCare Outpatient Imaging
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1558342998
-
- Urgent Care Clinic/Center
- West Palm Beach, FL
- NPI 1033195474
-
- Vascular & Interventional Radiology Physician
- Decatur, GA
- NPI 1043174857
-
- Vascular & Interventional Radiology Physician
- Decatur, GA
- NPI 1174487995
-
- Vascular & Interventional Radiology Physician
- Alpharetta, GA
- NPI 1720952336
-
- Vascular & Interventional Radiology Physician
- Atlanta, GA
- NPI 1770451981
-
- Urology Physician
- Dallas, GA
- NPI 1811846348
-
- Diagnostic Radiology Physician
- Wesley Chapel, FL
- NPI 1235898529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756944000000",
"number": "1265891634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1551 JANMAR RD",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300785606",
"telephone_number": "678-344-8900",
"fax_number": "678-666-5201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2711 IRVIN WAY",
"address_2": "SUITE 102",
"city": "DECATUR",
"state": "GA",
"postal_code": "300305405",
"telephone_number": "678-344-8900",
"fax_number": "678-666-5201"
}
],
"practiceLocations": [
{
"address_1": "2711 Irvin Way Suite 101",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "GA",
"postal_code": "300305405",
"country_code": "US",
"telephone_number": "678-344-8900",
"fax_number": "678-666-5201",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5315 Flynn Crossing Drive",
"address_purpose": "LOCATION",
"city": "Alpharetta",
"state": "GA",
"postal_code": "300051796",
"country_code": "US",
"telephone_number": "678-344-8900",
"fax_number": "678-666-5201",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "BRADLEY",
"middle_name": "MATTHEW",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-15",
"last_updated": "2025-09-04",
"certification_date": "2025-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "105153",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "GA",
"license": "105153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.