Individual provider Active NPI

Scott M Bradley, M.D

  • Emergency Medicine Physician
  • Gallatin, TN
National Provider Identifier
1306034467
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
47441 Issued in TN
Practice address
555 Hartsville Pike
Gallatin, TN 37066-2400
Phone
(615) 348-5833
Fax
(650) 723-0121
NPI assigned
Oct 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 47441 TN Primary

Addresses

Primary practice location

555 Hartsville Pike
Gallatin, TN 37066-2400

Mailing address

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TN2 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
I20100806000296 CA Practitioner - Emergency Medicine 7012040363 Reassigns benefits to 2 organizations
I20110701000320 TN Practitioner - Emergency Medicine 7012040363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of California, Irvine, California College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Encinitas Emergency Medicine IncGroup PAC ID 1951711357, 42 clinicians

Practice addresses (Care Compare)

354 Santa Fe Dr
Encinitas, CA 92024-5142
Phone (760) 753-1362

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.7 of 100Reported as group
Quality
81.57
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
47441TNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Emergency Providers, a Prof. Corp. Emergency Medicine CurrentSince Jun 1, 2020 Accepting new patients
Scripps Health Current Accepting new patients
Encinitas Emergency Medicine, Inc. Emergency Medicine CurrentSince Jan 27, 2021 Accepting new patients
Emergency Physicians at Sumner PLLC CurrentSince May 29, 2020 Accepting new patients
Stanford Health Care Emergency Medicine Past Accepting new patients

Locations

354 Santa Fe Dr
Encinitas, CA 92024
Phone (760) 230-2251

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

4077 5th Ave
#M
San Diego, CA 92103
Phone (619) 260-7000

555 Hartsville Pike
Gallatin, TN 37066
Phone (615) 328-5067

Interoperability endpoints

  • Direct secure messaging: sbradley372770@scrippshlth.medalliesdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1306034467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-4000",
            "fax_number": "650-723-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 HARTSVILLE PIKE",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370662400",
            "telephone_number": "615-348-5833",
            "fax_number": "650-723-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "SCOTT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-12",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "47441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

Verify at the official NPI Registry.