Active NPI
Jerry Allen Bradley Jr., MD, EDD, MDIV
- Geriatric Medicine (Family Medicine) Physician
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- MD.34716
- Practice address
- 575 Stanton Rd
Mobile, AL 36617-2344 - Phone
- (251) 471-7207
- Fax
- (251) 471-7207
- NPI assigned
- Feb 7, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | MD.34716 | AL | |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | MD.34716 | AL | Primary |
Addresses
Primary practice location
575 Stanton Rd
Mobile, AL 36617-2344
Mailing address
PO Box 746450
Atlanta, GA 30374-6450
Phone (866) 401-3057
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- 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
- Family Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2451 University Hospital Dr
Mobile, AL 36617-2300
Phone (251) 471-7000
75 S University Blvd
Unit 6000
Mobile, AL 36608-3274
Phone (251) 660-5555
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.34716 | AL | MD | Geriatric Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| USA Health Physician Billing Services LLC | Current | Accepting new patients | |
| USA Health Physician Billing Services LLC | Family Medicine | Current | Accepting new patients |
Locations
75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282
75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555
1720 Center St
Mobile, AL 36604
Phone (251) 410-4764
575 Stanton Rd
Mobile, AL 36617
Phone (251) 471-7207
Interoperability endpoints
- jbradley104273@direct.owensborohealth.org
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.
-
- Internal Medicine Physician
- Mobile, AL
- NPI 1720645468
Family Medicine
-
- Diagnostic Radiology Physician
- Mobile, AL
- NPI 1609434067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750032000000",
"number": "1376882563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746450",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746450",
"telephone_number": "866-401-3057",
"fax_number": "318-868-6430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 STANTON RD",
"city": "MOBILE",
"state": "AL",
"postal_code": "366172344",
"telephone_number": "251-471-7207",
"fax_number": "251-471-7207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "JERRY",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD, EDD, MDIV",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-07",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "AL",
"license": "MD.34716",
"primary": false
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "AL",
"license": "MD.34716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.