Active NPI
Bradley Nesbit, M.D.
- Diagnostic Radiology Physician
- Brandon, MS
National Provider Identifier
1396126355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 29141
- Practice address
- 140 Pine Ridge Cir
Brandon, MS 39047-7514 - Phone
- (601) 209-9109
- NPI assigned
- Jun 16, 2015
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 29141 | MS | Primary |
| Internal Medicine Physician | 207R00000X | T-2996 | MS | |
| General Practice Physician | 208D00000X | 29141 | MS | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
140 Pine Ridge Cir
Brandon, MS 39047-7514
Mailing address
140 Pine Ridge Cir
Brandon, MS 39047-7514
Phone (601) 209-9109
Other practice location 1
2500 N State St
Department of Medicine
Jackson, MS 39216-4500
Phone (601) 984-5601
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- 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
- General Practice
- Education
- University of Mississippi School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
140 Pine Ridge Cir
Brandon, MS 39047-7514
Phone (614) 340-7740
Hospital & facility affiliations
- Marietta Memorial Hospital
- Blanchard Valley Hospital
- Avita Ontario
- Selby General Hospital
- Knox Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-2996 | MS | MD | Internal Medicine Physician |
| 29141 | MS | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | General Practice | Current | Accepting new patients |
| Riverside Radiology and Interventional Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
Locations
460 Briarwood Dr
Ste 400
Jackson, MS 39206
Phone (601) 203-1016
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
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.
-
- Diagnostic Radiology Physician
- Columbus, OH
- NPI 1093718496
MS
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ontario, OH
- NPI 1790131050
-
- General Acute Care Hospital
- Findlay, OH
- NPI 1710920327
-
- General Acute Care Hospital
- Mount Vernon, OH
- NPI 1295761963
-
- General Acute Care Hospital
- Marietta, OH
- NPI 1215936927
-
- Critical Access Hospital
- Marietta, OH
- NPI 1124073465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646956800000",
"number": "1396126355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 PINE RIDGE CIR",
"city": "BRANDON",
"state": "MS",
"postal_code": "390477514",
"telephone_number": "601-209-9109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 PINE RIDGE CIR",
"city": "BRANDON",
"state": "MS",
"postal_code": "390477514",
"telephone_number": "601-209-9109"
}
],
"practiceLocations": [
{
"address_1": "2500 N State St",
"address_2": "Department of Medicine",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MS",
"postal_code": "392164500",
"country_code": "US",
"telephone_number": "601-984-5601",
"fax_number": "601-984-6601",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NESBIT",
"first_name": "BRADLEY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-16",
"last_updated": "2022-03-11",
"certification_date": "2022-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MS",
"license": "29141",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MS",
"license": "T-2996",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MS",
"license": "29141",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brandon, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.