Individual provider Active NPI

Bradley Matthew White, D.O.

  • Vascular & Interventional Radiology Physician
  • Decatur, GA
National Provider Identifier
1265891634
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
105153 Issued in GA
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, GA2 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
I20171110002263 FL Practitioner - Diagnostic Radiology 9537425335 Reassigns benefits to 5 organizations
I20250830000167 GA Practitioner - Interventional Radiology 9537425335 Reassigns benefits to 1 organization

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
St Josephs Diagnostic Center LLCGroup PAC ID 3779484928, 89 clinicians
Baycare Outpatient Imaging LLCGroup PAC ID 3577804087, 90 clinicians
Morton Plant Health Services IncGroup PAC ID 2163336777, 88 clinicians

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

ProcedureNumber 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

LicenseStateTypeSpecialty
105153GAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc CurrentSince Sep 19, 2017 Accepting new patients
Advanced Urology Institute of Georgia, LLC CurrentSince Sep 1, 2025 Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
MD Now Medical Centers Inc CurrentSince Sep 19, 2017 Accepting new patients
Morton Plant Mease Health Services Inc Diagnostic Radiology CurrentSince Jul 15, 2022 Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology CurrentSince Aug 1, 2025 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 CurrentSince Jul 15, 2022 Accepting new patients
Morton Plant Mease Health Services Inc Diagnostic Radiology CurrentSince Jul 15, 2022 Accepting new patients
Advanced Urology Institute of Georgia, LLC CurrentSince Sep 1, 2025 Accepting new patients
St Joseph's Diagnostic Center LLC Diagnostic Radiology CurrentSince Jul 15, 2022 Accepting new patients
CT-MRI of South Florida LLC Diagnostic Radiology CurrentSince Jul 5, 2022 Accepting new patients
Advanced Urology Institute of Georgia Past Accepting new patients
Advanced Vascular and Vein, PC Vascular & Interventional Radiology PastSince Oct 1, 2025 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.

View all 18

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

Verify at the official NPI Registry.