Active NPI
Charles Raymond Bradford IV, M.D.
- Family Medicine Physician
- Scottsboro, AL
National Provider Identifier
1427085133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 00026295
- Practice address
- 508 Harley St
Suite B
Scottsboro, AL 35768-4294 - Phone
- (256) 259-0734
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 00026295 | AL | Primary |
Addresses
Primary practice location
508 Harley St
Suite B
Scottsboro, AL 35768-4294
Mailing address
508 Harley St Ste D
Scottsboro, AL 35768-4263
Phone (256) 259-6054
Other names 1
- Dr. Chad Bradford
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Alabama School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
508 Harley St
Suite D
Scottsboro, AL 35768-4263
Phone (256) 259-0734
510 E Laurel St
FL 2
Scottsboro, AL 35768-1927
Phone (256) 259-0734
Hospital & facility affiliations
- Highlands Home Health
- Amedisys Home Health of Fort Payne
- Enhabit Home Health
- Highlands Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.95 of 100
- Quality
- 73.88
- Improvement activities
- 40
- Cost
- 67.99
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Removal of tissue | 14 |
| Removal of skin lesions | 37 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 46 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00026295 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bradford Family Healthcare PC | Current | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients | |
| North Dekalb Primary Care, LLC | Family Medicine | Past | Accepting new patients |
Locations
508 Harley St
Ste D
Scottsboro, AL 35768
Phone (256) 259-0734
Interoperability endpoints
- charles.bradford.iv.1@17171.direct.athenahealth.com
- charles.bradford.1@7879.direct.athenahealth.com
- https://api.platform.athenahealth.com/7879/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Health Service Clinic/Center
- Scottsboro, AL
- NPI 1407284532
-
- Family Medicine Physician
- Valley Head, AL
- NPI 1851898449
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Rainsville, AL
- NPI 1861413890
-
- Home Health Agency
- Decatur, AL
- NPI 1538620984
-
- Home Health Agency
- Scottsboro, AL
- NPI 1093484396
-
- General Acute Care Hospital
- Scottsboro, AL
- NPI 1699444976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650326400000",
"number": "1427085133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 HARLEY ST STE D",
"city": "SCOTTSBORO",
"state": "AL",
"postal_code": "357684263",
"telephone_number": "256-259-6054",
"fax_number": "256-259-5206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 HARLEY ST",
"address_2": "SUITE B",
"city": "SCOTTSBORO",
"state": "AL",
"postal_code": "357684294",
"telephone_number": "256-259-0734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADFORD",
"first_name": "CHARLES",
"middle_name": "RAYMOND",
"name_prefix": "Dr.",
"name_suffix": "IV",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2022-04-19",
"certification_date": "2022-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "00026295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHAD",
"last_name": "BRADFORD",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Scottsboro, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.