James Edward Bradof, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

12178 Issued in SC

Practice address

212 Cypress Creek Drive
Spartanburg, SC 29307

Phone

(864) 579-4774

Fax

(864) 579-8717

NPI assigned

Dec 7, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 20, 2016 through Feb 20, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291680000000",
    "number": "1417250887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 CYPRESS CREEK DRIVE",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "29307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 CYPRESS CREEK DRIVE",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "29307",
            "telephone_number": "864-579-4774",
            "fax_number": "864-579-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADOF",
        "first_name": "JAMES",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-07",
        "last_updated": "2010-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "12178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarence Ryan Brackett, MPT
• Melissa Ann Brackett, CNM
• Rosa Bradford, RN, BSN
• Dylan Bradley, PT
• Richard Charles Bradley, R.PH.
• Ayana Lynn Braggs
• Camille Burns Bramhall, MACOMMUNITY COUNSEL
• Shelly Bramlitt, APRN
• David S. Brancati, DO
• Brittany Rose Brandt, B.S.

• Internal Medicine Physician in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.