Bradley C Marcy

Primary specialty

OptometristTaxonomy code 152W00000X

License

694 Issued in SD

Practice address

112 N Main St
Gordon, NE 69343-1524

Phone

(308) 282-0820

NPI assigned

Jul 29, 2013

Last updated

Jul 29, 2013By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE, SD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Optometry

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chadron Vision Center, Inc.Group PAC ID 8123073574, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Chadron Vision Center, Inc.

  • Optometrist
  • Chadron, NE
  • NPI 1245226984
  Medicare reassignment Care Compare group NPD
• Winckler Vision Center, Inc.

  • Optometrist
  • Pine Ridge, SD
  • NPI 1134142243
  Medicare reassignment NPD

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

{
    "created_epoch": "1375056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375056000000",
    "number": "1336581503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N MAIN",
            "city": "GORDON",
            "state": "NE",
            "postal_code": "69343",
            "telephone_number": "308-282-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N MAIN ST",
            "city": "GORDON",
            "state": "NE",
            "postal_code": "693431524",
            "telephone_number": "308-282-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCY",
        "first_name": "BRADLEY",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-29",
        "last_updated": "2013-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaleigh Marie Krebs, DNP, APRN, FNP-C
• Christopher Joe La Rose, FNP, ANP, NP
• Martin Emerson Lambert, CRNA
• Ronda L Larson, PA-C
• Richae Malara
• Kimberly Marlatt, PT
• Kimberly Lynn Massoud, PCA
• Mdslc Inc (Stockmen's Drug)
• Bradley Eugen Myers
• North East Panhandle Substance Abuse Center

• Optometrist in Gordon, NE
• Providers in Gordon, NE by specialty
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; 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.