Individual provider Active NPI

Bradley A Wolf, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Memphis, TN
National Provider Identifier
1366486821
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
26581 Issued in TN
Practice address
6029 Walnut Grove Rd
Suite 401
Memphis, TN 38120-2112
Phone
(901) 226-0456
Fax
(901) 226-0458
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 15329 MS
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X E-5843 AR
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 26581 TN Primary

Addresses

Primary practice location

6029 Walnut Grove Rd
Suite 401
Memphis, TN 38120-2112

Mailing address

PO Box 405827
Atlanta, GA 30384-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN, AR3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20080415000618 MS Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Surgery 7517045651 Reassigns benefits to 1 organization
I20130813000211 TN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 7517045651 Reassigns benefits to 2 organizations
I20260216001145 AR Practitioner - Thoracic Surgery 7517045651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Thoracic Surgery
Education
University of Tennessee, HSC, College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Memorial Hospital-TiptonGroup PAC ID 6709878614, 29 clinicians

Practice addresses (Care Compare)

1995 Hwy 51 S
Covington, TN 38019-3635
Phone (901) 476-2621

255 Baptist Blvd
Columbus, MS 39705-2006

36 Capital Way
Suite E
Atoka, TN 38004-7986
Phone (901) 837-6801

401 Southcrest Cir
Southaven, MS 38671-6719

4800 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-1000

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-3882

6025 Walnut Grove Rd
Suite 301
Memphis, TN 38120-2123
Phone (901) 226-0456

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (662) 772-2130

PO Box
Suite 405827
Atlanta, GA 30384-5827

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.87 of 100Reported as group
Quality
64.75
Promoting interoperability
100
Improvement activities
40
Cost
74.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)91
Pacemaker insertion or repair46
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-5843ARMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
15329MSMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
26581TNMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Hospital-Tipton CurrentSince Oct 7, 2019 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Jul 21, 2015 Accepting new patients
Baptist Memorial Hospital-Tipton CurrentSince Oct 7, 2019 Accepting new patients
Baptist Memorial Medical Group Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jul 21, 2015 Accepting new patients
Thoracic and Cardiovascular Surgery Association Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
Baptist Memorial Hospital Past Accepting new patients
Baptist Memorial Regional Rehabilitative Services Inc PastSince Jan 1, 2013 Accepting new patients
Baptist Memorial Health Services, Inc. of Mississippi Past Accepting new patients
Baptist Memorial Hospital-Desoto, Inc, Past Accepting new patients

Locations

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

4802 E Johnson Ave
Jonesboro, AR 72405
Phone (901) 227-9820

255 Baptist Blvd
Ste 401
Columbus, MS 39705
Phone (662) 244-2288

255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288

100 Baptist Memorial Cir
Ste 120
Oxford, MS 38655
Phone (662) 244-2288

7603 Southcrest Pkwy
Ste 302
Southaven, MS 38671
Phone (601) 349-0707

401 Southcrest Cir
Ste 201
Southaven, MS 38671
Phone (662) 772-4000

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

1995 Highway 51 S
Covington, TN 38019
Phone (901) 476-2621

2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350

965 Ridge Lake Blvd
Ste 103
Memphis, TN 38120
Phone (901) 227-3221

8970 Winchester Rd
Memphis, TN 38125
Phone (901) 794-5806

6025 Walnut Grove Rd
Ste 111
Memphis, TN 38120
Phone (901) 226-2000

6029 Walnut Grove Rd
Ste 401
Memphis, TN 38120
Phone (901) 226-0456

6025 Walnut Grove Rd
Ste 301
Memphis, TN 38120
Phone (901) 226-0456

8040 Wolf River Blvd
Ste 103
Memphis, TN 38138
Phone (901) 725-8606

6025 Walnut Grove Rd
Ste 405
Memphis, TN 38120
Phone (901) 537-1892

6029 Walnut Grove Rd
Ste 305
Memphis, TN 38120
Phone (901) 226-0533

Interoperability endpoints

  • Direct secure messaging: bwolf23676@mlh.direct-ci.com
  • Direct secure messaging: bwolf15361@direct.bmhcc.org

Organizations & group practices 9

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1366486821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405827",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303845800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6029 WALNUT GROVE RD",
            "address_2": "SUITE 401",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202112",
            "telephone_number": "901-226-0456",
            "fax_number": "901-226-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "BRADLEY",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MS",
            "license": "15329",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "AR",
            "license": "E-5843",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TN",
            "license": "26581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.