Bradley Rex Baugh, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Cleveland, MS
NPI 1285728626 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1285728626
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 15811 (MS)
- Practice address
- 801 First St
Cleveland, MS 38732 - Phone
- (662) 843-0880
- Fax
- (662) 843-0086
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- University of Texas Southwestern Medical School at Dallas, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bolivar Physician Practices LLC
Practice addresses (Care Compare)
907 E Sunflower Rd
Suite 102
Cleveland, MS 38732-2830
Phone (662) 843-8885
Hospital & facility affiliations
- Bolivar Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- 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 |
|---|---|---|---|---|
| I20101229000080 | MS | Practitioner - Obstetrics/Gynecology | 3274721691 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bolivar Physician Practices LLC | Current |
Accepting new patients | |
| Bolivar Physician Practices LLC | Current | Accepting new patients | |
| Delta Obstetrics & Gynecology, P.a. | Current |
Accepting new patients | |
| Bolivar Physician Practices LLC | Current |
Accepting new patients | |
| Bolivar Physician Practices LLC | Past | Accepting new patients | |
| PHC-Cleveland LLC | Past | Accepting new patients |
Locations
901 E Sunflower Rd
Cleveland, MS 38732
Phone (662) 846-0061
907 E Sunflower Rd
Ste 102
Cleveland, MS 38732
Phone (662) 545-4443
801 1st St
Cleveland, MS 38732
Phone (662) 843-0880
Interoperability endpoints
- baugh_bradley_r_md@yourcarecommunity.org
- bradley.baugh.1@10381.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 15811 | MS | Yes |
Addresses
Primary practice location
801 First St
Cleveland, MS 38732
Mailing address
801 First St
Cleveland, MS 38732
Phone (662) 843-0880
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00119617 | Medicaid | MS |
Other providers in Cleveland, MS
- Dianne Arnold
- Maghan Ashmore
- Avritt Medica Equipment, Inc.
- Avritt Medical Equipment, Inc.
- Jackie Barnes
- Matthew Bear
- Berry Chiropractic Family and Sports Rehabilitation Center, LLC
- Bethany Medical Clinic
- Bethany Medical Clinic, LLC
- Tracy Marie Blackstock
All providers in Cleveland, MS · Obstetrics & Gynecology Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.