Individual provider Active NPI

Bradley W Warner, M.D.

  • Urology Physician
  • Salem, OR
National Provider Identifier
1417100405
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD29244 Issued in OR
Practice address
2973 12TH Street SE
Salem, OR 97302-6162
Phone
(503) 561-7100
Fax
(503) 561-7124
NPI assigned
Nov 4, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD29244 OR Primary

Addresses

Primary practice location

2973 12TH Street SE
Salem, OR 97302-6162

Mailing address

2973 12TH Street SE
Salem, OR 97302-6162
Phone (503) 561-7100

Other identifiers 2

IdentifierTypeStateIssuer
500606282MedicaidOR
MD29244OtherLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20090701000617 OR Practitioner - Urology 0547311565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Kentucky College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salem HealthGroup PAC ID 8628986668, 470 clinicians

Practice addresses (Care Compare)

2973 12TH St SE
Salem, OR 97302-3162
Phone (503) 561-7100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
86.8
Promoting interoperability
100
Improvement activities
40
Cost
86.36

Merit-based Incentive Payment System (MIPS)

Final score
26.64 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
88.79

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD29244ORMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Health CurrentSince Dec 15, 2024 Accepting new patients
Salem Health CurrentSince Dec 15, 2024 Accepting new patients

Locations

665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634

2973 12th St SE
Salem, OR 97302
Phone (503) 561-7100

Interoperability endpoints

  • Direct secure messaging: bwarner17241@direct.salemhealth.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.

Hospital & facility affiliations 5

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": "1225756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1417100405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2973 12TH STREET SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973026162",
            "telephone_number": "503-561-7100",
            "fax_number": "503-561-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2973 12TH STREET SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973026162",
            "telephone_number": "503-561-7100",
            "fax_number": "503-561-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "BRADLEY",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-04",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OR",
            "license": "MD29244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500606282",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "MD29244",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.