Active NPI
Bradley A Wolf, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 26581
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Tennessee, HSC, College of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Baptist Home Care and Hospice North Mississippi
- Accentcare Home Health of Greenwood
- Baptist Memorial Hospital
- Baptist Memorial Hospital Desoto
- Baptist Memorial Hospital Tipton
- Baptist Memorial Hospital North Ms
- Baptist Memorial Hospital Union County
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.87 of 100
- Quality
- 64.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.81
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 91 |
| Pacemaker insertion or repair | 46 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-5843 | AR | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| 15329 | MS | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| 26581 | TN | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Memorial Hospital-Tipton | Current | Accepting new patients | |
| Baptist Memorial Medical Group Inc | Current | Accepting new patients | |
| Baptist Memorial Hospital-Tipton | Current | Accepting new patients | |
| Baptist Memorial Medical Group Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | 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 | Past | 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
- bwolf23676@mlh.direct-ci.com
- 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.
-
- General Acute Care Hospital
- Covington, TN
- NPI 1316901937
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1306089206
AR, MS, Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1114464211
-
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1841006129
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
-
- Rehabilitation Clinic/Center
- Memphis, TN
- NPI 1649224452
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Memphis, TN
- NPI 1356453773
-
- Internal Medicine Physician
- New Albany, MS
- NPI 1104971696
-
- General Acute Care Hospital
- Southaven, MS
- NPI 1194789818
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
-
- General Acute Care Hospital
- Covington, TN
- NPI 1316901937
-
- General Acute Care Hospital
- Oxford, MS
- NPI 1053375576
-
- General Acute Care Hospital
- New Albany, MS
- NPI 1780648352
-
- General Acute Care Hospital
- Southaven, MS
- NPI 1194789818
-
- Home Health Agency
- Batesville, MS
- NPI 1275068959
-
- Home Health Agency
- Greenwood, MS
- NPI 1235270588
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.