Individual provider Active NPI

Natalie Renee Bradley

  • Cardiovascular Disease Physician
  • Dalton, GA
National Provider Identifier
1346754751
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
NCO-000001 Issued in AL
Practice address
1600 Broadrick Dr
Dalton, GA 30720-3260
Phone
(706) 529-9301
Fax
(706) 529-9302
NPI assigned
Nov 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NCO-000001 AL Primary

Addresses

Primary practice location

1600 Broadrick Dr
Dalton, GA 30720-3260

Mailing address

176 Guyler St
Ringgold, GA 30736-2403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191101001389 GA Practitioner - Nurse Practitioner 7315279866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart and Rhythm SpecialistsGroup PAC ID 1658373105, 2 clinicians

Practice addresses (Care Compare)

1600 Broadrick Dr
Dalton, GA 30720-3260
Phone (706) 529-9301

Hospital & facility affiliations

  • Hamilton Medical Center Hospital, Dalton, GA, CCN 110001

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
77.09
Improvement activities
40
Cost
81.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NCO-000001ALMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heart and Rhythm Specialists Cardiovascular Disease CurrentSince Aug 28, 2019 Accepting new patients

Locations

1600 Broadrick Dr
Dalton, GA 30720
Phone (706) 529-9301

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IEHGAA/Endpoint/IEHGAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/IEHGAA

Organizations & group practices 1

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 3

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": "1511222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511222400000",
    "number": "1346754751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 GUYLER ST",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307362403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 BROADRICK DR",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203260",
            "telephone_number": "706-529-9301",
            "fax_number": "706-529-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "NATALIE",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-21",
        "last_updated": "2017-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "NCO-000001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.