Active NPI
Glen E Bradish, MD
- Orthopaedic Surgery Physician
- Newton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- NJ MA72377
- Practice address
- 280 Newton Sparta Rd
Ste 4
Newton, NJ 07860 - Phone
- (973) 579-7443
- Fax
- (973) 579-7218
- NPI assigned
- May 12, 2006
- Last updated
- Jul 11, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | NJ MA72377 | NJ | Primary |
Addresses
Primary practice location
280 Newton Sparta Rd
Ste 4
Newton, NJ 07860
Mailing address
280 Newton Sparta Rd
Ste 4
Newton, NJ 07860
Phone (973) 579-7443
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8508402 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Rutgers New Jersey Medical School, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
123 Newton Sparta Rd
Newton, NJ 07860-2769
Phone (973) 579-6300
175 High St
Newton, NJ 07860-1004
Phone (973) 383-2121
280 Newton Sparta Rd
Suite 4
Newton, NJ 07860-2775
Phone (973) 579-7443
452 Route 206
Montague, NJ 07827-3045
Phone (973) 579-7443
715 Route 10 E
Randolph, NJ 07869-2025
Phone (973) 343-7040
Hospital & facility affiliations
- Atlantic Visiting Nurse
- Newton Medical Center
- Morristown Medical Center
- Bon Secours Community Hospital
- Kessler Rehab Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.05 of 100
- Quality
- 65.09
- Promoting interoperability
- 85
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 12 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 13 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NJ MA72377 | NJ | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Interoperability endpoints
- glenbradish@premiernj.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Newton, NJ
- NPI 1043257991
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Morristown Medical Center
- General Acute Care Hospital
- Morristown, NJ
- NPI 1053384776
-
dba Atlantic Home Care & Hospice
- Home Health Agency
- Morristown, NJ
- NPI 1962479667
-
dba Kessler Rehabilitation Center
- Rehabilitation Hospital
- West Orange, NJ
- NPI 1013919620
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Port Jervis, NY
- NPI 1659360709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1275584526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 NEWTON SPARTA RD",
"address_2": "STE 4",
"city": "NEWTON",
"state": "NJ",
"postal_code": "07860",
"telephone_number": "973-579-7443",
"fax_number": "973-579-7218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 NEWTON SPARTA RD",
"address_2": "STE 4",
"city": "NEWTON",
"state": "NJ",
"postal_code": "07860",
"telephone_number": "973-579-7443",
"fax_number": "973-579-7218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADISH",
"first_name": "GLEN",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NJ",
"license": "NJ MA72377",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8508402",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.