Individual provider Active NPI

Bradley Gene Singer, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Grand Island, NE
National Provider Identifier
1407054711
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
31875 Issued in NE
Practice address
826 N Diers Ave
Grand Island, NE 68803-4955
Phone
(308) 708-2826
NPI assigned
Jul 7, 2007
Last updated
Nov 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2003-0016 NM
Pain Medicine (Anesthesiology) Physician 207LP2900X 31875 NE Primary
Interventional Pain Medicine Physician 208VP0014X 31875 NE

Addresses

Primary practice location

826 N Diers Ave
Grand Island, NE 68803-4955

Mailing address

PO Box 5492
Grand Island, NE 68802-5492
Phone (308) 708-2826

Other practice location 1

3601 4th St Stop 8182
Lubbock, TX 79430-8182
Phone (806) 743-9943

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190718002393 NE Practitioner - Anesthesiology 8325346661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of New Mexico School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

826 N Diers Ave
Grand Island, NE 68803-4955
Phone (308) 708-2826

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31875NEMDInterventional Pain Medicine Physician
PA2003-0016NMMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Total Body Pain Institute Pain Medicine CurrentSince Mar 10, 2020 Accepting new patients
Kearney Pain Treatment Center, LLC Past Accepting new patients

Locations

603 N Diers Ave
Ste 2
Grand Island, NE 68803
Phone (308) 382-9048

826 N Diers Ave
Grand Island, NE 68803
Phone (308) 675-1300

2908 W 39th St
Ste D
Kearney, NE 68845
Phone (308) 236-0507

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0b6b0303-cbdd-4ff9-91bf-eeb5a4c8911b/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1183766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1407054711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5492",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688025492",
            "telephone_number": "308-708-2826",
            "fax_number": "308-398-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 N DIERS AVE",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034955",
            "telephone_number": "308-708-2826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 4th St Stop 8182",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794308182",
            "country_code": "US",
            "telephone_number": "806-743-9943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINGER",
        "first_name": "BRADLEY",
        "middle_name": "GENE",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-07",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2003-0016",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NE",
            "license": "31875",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NE",
            "license": "31875",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

Verify at the official NPI Registry.