Bradley Scott Shore, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

022372 Issued in LA

Practice address

4901 Wills St
Metairie, LA 70006-1132

Phone

(952) 595-1100

Fax

(952) 942-3361

NPI assigned

Jun 16, 2005

Last updated

May 31, 2011By the provider in NPPES

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Diagnostic Radiology

Education

Tulane University School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Diagnostic Imaging ServicesGroup PAC ID 7618872102, 22 clinicians

Fairway Medical Center LLCGroup PAC ID 6406815687, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Avala Hospital, Covington, LA, CCN 190267
• Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036
• St Tammany Parish Hospital Hospital, Covington, LA, CCN 190045

Merit-based Incentive Payment System (MIPS)

Final score

22.81 of 100Reported as individual

Quality

9.19

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Diagnostic Imaging Services

  • Magnetic Resonance Imaging (MRI) Internal Medicine Physician
  • Metairie, LA
  • NPI 1699793166
  Medicare reassignment Care Compare group NPD
• Fairway Medical Center, LLC

  dba Avala

  • Diagnostic Radiology Physician
  • Covington, LA
  • NPI 1265023170
  Medicare reassignment Care Compare group NPD
• Bluebonnet Imaging Center, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Baton Rouge, LA
  • NPI 1942393699
  NPD
• Central Imaging Center, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Baton Rouge, LA
  • NPI 1912954520
  NPD
• River Bend Imaging LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • La Place, LA
  • NPI 1609265792
  NPD
• Imaging Center of Columbus, LLC

  • Physiological Laboratory
  • Columbus, MS
  • NPI 1083613699
  NPD
• Doctors Hospital at Deer Creek LLC

  • General Acute Care Hospital
  • Leesville, LA
  • NPI 1750614277
  NPD (past)
• Imaging Specialists of New Orleans

  • Diagnostic Radiology Physician
  • New Orleans, LA
  • NPI 1841296993
  NPD (past)
• Paradigm Health System

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Lacombe, LA
  • NPI 1043634454
  NPD (past)
• Radiology & Interventional Associates of Metairie LLC

  • Diagnostic Radiology Physician
  • Metairie, LA
  • NPI 1003812215
  NPD (past)
• Regional Radiology, LLC

  • Diagnostic Radiology Physician
  • Covington, LA
  • NPI 1336192863
  NPD (past)
• Millennium Medical Imaging PC

  • Diagnostic Radiology Physician
  • Saratoga Springs, NY
  • NPI 1235114182
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Fairway Medical Center, LLC

  dba Avala

  • General Acute Care Hospital
  • Covington, LA
  • NPI 1851487086
  Care Compare affiliation
• Ochsner Clinic Foundation

  dba Ochsner Medical Center Acute

  • General Acute Care Hospital
  • New Orleans, LA
  • NPI 1811973100
  Care Compare affiliation
• St Tammany Parish Hospital Service District No 1

  dba St Tammany Physicians Network

  • Internal Medicine Physician
  • Covington, LA
  • NPI 1083793582

  Hospital

  Care Compare affiliation
• St Tammany Parish Hospital Service District No 1

  dba Northlake Pulmonary Associates at St Tammany Parish Hospital

  • Pulmonary Disease Physician
  • Covington, LA
  • NPI 1285285874

  Hospital

  Care Compare affiliation
• St. Tammany Parish Hospital Service District No 1

  dba St. Tammany Parish Hospital

  • General Acute Care Hospital
  • Covington, LA
  • NPI 1598798597
  Care Compare affiliation

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306800000000",
    "number": "1427053347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN",
            "address_2": "SUITE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445347",
            "telephone_number": "952-595-1100",
            "fax_number": "952-942-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 WILLS ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700061132",
            "telephone_number": "952-595-1100",
            "fax_number": "952-942-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORE",
        "first_name": "BRADLEY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2011-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "022372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102090529",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1948063",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1481823",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Destiny Shipley
• Shirer Counseling Services
• Shirley Oga Koeck OD LLC
• Megan Shockey, PT, DPT
• Ray Shoemaker
• Kayjha Shorty
• Tonisha Deshawn Showers
• Muhammad Shuja, M.D.
• Paul Douglas Shurte, PH.D., LCSW
• Aimee Duplantis Shwery, MSOT, OTR/L

• Diagnostic Radiology Physician in Metairie, LA
• Providers in Metairie, LA by specialty
• Diagnostic Radiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; 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.

Verify at the official NPI Registry.