Individual provider Active NPI

Bradley Kent Heim, M.D.

  • Obstetrics & Gynecology Physician
  • Dothan, AL
National Provider Identifier
1316929466
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
23479 Issued in AL
Practice address
1118 Ross Clark Cir Ste 402
Dothan, AL 36301-3002
Phone
(334) 673-3633
Fax
(334) 836-2894
NPI assigned
Nov 15, 2005
Last updated
Jul 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 23479 AL Primary

Addresses

Primary practice location

1118 Ross Clark Cir Ste 402
Dothan, AL 36301-3002

Mailing address

1118 Ross Clark Cir Ste 402
Dothan, AL 36301-3002
Phone (334) 673-3633

Other identifiers 1

IdentifierTypeStateIssuer
051550514MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20111019000198 AL Practitioner - Obstetrics/Gynecology 0547430118 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Tennessee, HSC, College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Enterprise Women's Center, LLC.Group PAC ID 2163440843, 2 clinicians
Dothan OBGYN, Inc.Group PAC ID 8022042076, 6 clinicians

Practice addresses (Care Compare)

101 E Brunson St
Suite 310
Enterprise, AL 36330-2500
Phone (334) 393-0737

1118 Ross Clark Cir
Suite 402
Dothan, AL 36301-3002
Phone (334) 673-3633

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23479ALMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Enterprise Women's Center, LLC. Obstetrics & Gynecology CurrentSince Jul 1, 2001 Accepting new patients
Caroline a Reich MD PC PastSince May 17, 2017 Accepting new patients
QHG of Enterprise Inc Past Accepting new patients
Dothan OBGYN, Inc. Obstetrics & Gynecology Past Accepting new patients

Locations

101 E Brunson St
Ste 310
Enterprise, AL 36330
Phone (334) 393-0737

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1316929466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 ROSS CLARK CIR STE 402",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013002",
            "telephone_number": "334-673-3633",
            "fax_number": "334-836-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 ROSS CLARK CIR STE 402",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013002",
            "telephone_number": "334-673-3633",
            "fax_number": "334-836-2894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIM",
        "first_name": "BRADLEY",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "23479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051550514",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.