Active NPI
Bruce Edward Bradley, MBCHB
- Cardiovascular Disease Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 45827
- Practice address
- 100 N Eagle Creek Dr
Lexington, KY 40509 - Phone
- (859) 258-5300
- Fax
- (859) 258-5357
- NPI assigned
- Sep 1, 2010
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 45827 | KY | |
| Hospitalist Physician | 208M00000X | 45827 | KY | |
| Cardiovascular Disease Physician | 207RC0000X | 45827 | KY | Primary |
Addresses
Primary practice location
100 N Eagle Creek Dr
Lexington, KY 40509
Mailing address
100 N Eagle Creek Dr
Lexington, KY 40509-1805
Phone (859) 258-5300
Other practice location 1
Uk Div Of Hospital Medicine
800 Rose Street, MN604
Lexington, KY 40536-0294
Phone (859) 323-6047
Other practice location 2
Uk Div Of Hospital Medicine
800 Rose Street, MN604
Lexington, KY 40536-0294
Phone (859) 323-6047
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 N Eagle Creek Dr
Lexington, KY 40509-1805
Phone (859) 258-4000
Hospital & facility affiliations
- Saint Joseph Hospital
- Saint Joseph Mount Sterling
- Clark Regional Medical Center
- Saint Joseph London
- Saint Joseph East
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45827 | KY | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Lexington Clinic, PSC | Internal Medicine | Current | Accepting new patients |
| New Lexington Clinic PSC | Current | Accepting new patients |
Locations
1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181
100 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 258-5300
Interoperability endpoints
- bruce.bradley.1@13059.direct.athenahealth.com
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.
-
- Multi-Specialty Clinic/Center
- Lexington, KY
- NPI 1700803681
Internal Medicine
-
- Clinical Medical Laboratory
- Lexington, KY
- NPI 1285409425
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winchester, KY
- NPI 1811213994
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1437150984
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1447457775
-
- General Acute Care Hospital
- Mt Sterling, KY
- NPI 1679679146
-
- Rural Acute Care Hospital
- London, KY
- NPI 1992701429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560384000000",
"number": "1376850099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N EAGLE CREEK DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405091805",
"telephone_number": "859-258-5300",
"fax_number": "859-258-5357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N EAGLE CREEK DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "40509",
"telephone_number": "859-258-5300",
"fax_number": "859-258-5357"
}
],
"practiceLocations": [
{
"address_1": "Uk Div Of Hospital Medicine",
"address_2": "800 Rose Street, MN604",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405360294",
"country_code": "US",
"telephone_number": "859-323-6047",
"fax_number": "859-257-3873",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Uk Div Of Hospital Medicine",
"address_2": "800 Rose Street, MN604",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405360294",
"country_code": "US",
"telephone_number": "859-323-6047",
"fax_number": "859-257-3873",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRADLEY",
"first_name": "BRUCE",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "MBCHB",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-01",
"last_updated": "2019-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "45827",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "KY",
"license": "45827",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "KY",
"license": "45827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.