NPIMap

Individual provider Active NPI

Bradley P Fox, MD

  • Family Medicine Physician
  • Erie, PA
National Provider Identifier
1336124247
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD050885L Issued in PA
Practice address
3413 Cherry St
Erie, PA 16508-2678
Phone
(814) 868-9828
Fax
(814) 868-8561
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD050885L PA Primary

Addresses

Primary practice location

3413 Cherry St
Erie, PA 16508-2678

Mailing address

3413 Cherry St
Erie, PA 16508-2678
Phone (814) 868-9828

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bfox148786@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040105000478 PA Practitioner - Family Practice 8628977170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of Ny Upstate Medical University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

3413 Cherry St
Erie, PA 16508-2678
Phone (814) 868-9828

5930 Old French Rd
Erie, PA 16509-3656
Phone (814) 860-7816

Hospital & facility affiliations

  • Visiting Nurse Association of Erie County Home health agency, Erie, PA, CCN 397034
  • Allegheny Health Network Healthcare at Home Home H Home health agency, Warrendale, PA, CCN 398069
  • Aseracare Hospice Hospice, Waterford, PA, CCN 391661
  • Saint Vincent Hospital Hospital, Erie, PA, CCN 390009
  • Upmc Hamot Hospital, Erie, PA, CCN 390063

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Medical Education and Research Institute Inc Family Medicine CurrentSince Jul 7, 1994 Accepting new patients
Saint Vincent Medical Education and Research Institute Family Medicine Past Accepting new patients

Locations

155 E State St
Albion, PA 16401
Phone (814) 756-4917

232 W 25th St
Erie, PA 16544
Phone (814) 452-5337

3413 Cherry St
Erie, PA 16508
Phone (814) 860-8098

1910 Sassafras St
Ste 100
Erie, PA 16502
Phone (814) 452-5772

3530 Peach St
Ste LL1
Erie, PA 16508

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1336124247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3413 CHERRY ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082678",
            "telephone_number": "814-868-9828",
            "fax_number": "814-868-8561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3413 CHERRY ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082678",
            "telephone_number": "814-868-9828",
            "fax_number": "814-868-8561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "BRADLEY",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD050885L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bfox148786@direct.ahn.org",
            "affiliation": "N",
            "address_1": "3413 Cherry St",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165082678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.