Bradley A Pontani, M.D.

Primary specialty

Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X

License

G5492 Issued in TX

Practice address

1905 W 32ND St
Suite 103
Joplin, MO 64804-1529

Phone

(417) 556-2185

NPI assigned

Apr 14, 2006

Last updated

Jan 30, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR, MO2 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

Specialty

Preventive Medicine

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healogics Specialty Physicians of Missouri LLCGroup PAC ID 2668791690, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Hospital Joplin Hospital, Joplin, MO, CCN 260001

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bpontani732429@directb.mercy.net

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.

• Healogics Specialty Physicians of Missouri, LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Joplin, MO
  • NPI 1528468311
  Medicare reassignment Care Compare group NPD
• Healogics Specialty Physicians of Arkansas, PLLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Fayetteville, AR
  • NPI 1538561436
  Medicare reassignment NPD
• Southeast Texas Hyperbaric Medicine

  • Specialist
  • Conroe, TX
  • NPI 1992802425
  NPD (past) Authorized official

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

• Mercy Hospital Joplin

  • General Acute Care Hospital
  • Joplin, MO
  • NPI 1700112745
  Care Compare affiliation

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1306800412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 W 32ND ST",
            "address_2": "STE #103",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041529",
            "telephone_number": "417-556-2185",
            "fax_number": "417-556-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 W 32ND ST",
            "address_2": "SUITE 103",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041529",
            "telephone_number": "417-556-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONTANI",
        "first_name": "BRADLEY",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "G5492",
            "primary": false
        },
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "TX",
            "license": "G5492",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": "G5492",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1230393-03",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Annette Pitts, D.O.
• Davisai Pizarro
• Jamie Lynn Place, DDS
• Nancy Plinsky-Mollnow, CRNA
• Amber Ponder
• Neal R. Popichak, CRNA
• Karen Lynn Porte, MD.
• Matthew Porte, APSW
• Ashlyn N Porter
• Tanner Steven Poss

• Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in Joplin, MO
• Providers in Joplin, MO by specialty
• Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.

Verify at the official NPI Registry.