Keith Bradley, MD
Individual provider Active NPI Emergency Medicine Physician · Fairfield, CT
NPI 1407201247 · NPPES record last updated Apr 29, 2016
Key facts
- NPI
- 1407201247
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 023622 (CT)
- Practice address
- 66 Lilalyn Dr
Fairfield, CT 06825-1310 - Phone
- (203) 767-6363
- NPI assigned
- Apr 29, 2016
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.33 of 100
- Quality
- 82.1
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.34
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023622 | CT | MD | Emergency Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 023622 | CT | Yes |
Addresses
Primary practice location
66 Lilalyn Dr
Fairfield, CT 06825-1310
Mailing address
66 Lilalyn Dr
Fairfield, CT 06825-1310
Phone (203) 767-6363
Other providers in Fairfield, CT
- Rachel Boxer
- Anna Boxleitner
- Stacey Bozzuto
- Patricia E Bradbury
- Bradley W Bloom LCSW LLC
- Koren H. Bradshaw
- Warren Joseph Brandt
- Braun Orthodontics PLLC
- Max Braun
- Thomas F Braun
All providers in Fairfield, CT · Emergency Medicine Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.