NPIMap

Individual provider Active NPI

Camille Marie Bradley, M.D.

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1427316322
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q3430 Issued in TX
Practice address
6301 Gaston Ave
Ste 300
Dallas, TX 75214-3922
Phone
(469) 800-7900
Fax
(469) 800-7910
NPI assigned
Apr 27, 2012
Last updated
Mar 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Q3430 TX Primary

Addresses

Primary practice location

6301 Gaston Ave
Ste 300
Dallas, TX 75214-3922

Mailing address

6301 Gaston Ave
Ste 300
Dallas, TX 75214-3922
Phone (469) 800-7900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address crobinson226052@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150917000790 TX Practitioner - Family Practice 5496069916 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

4001 Worth St
Dallas, TX 75246-1608

6301 Gaston Ave
Suite 300
Dallas, TX 75214-6227
Phone (469) 800-7900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Jul 25, 2016 Accepting new patients
Lamb Healthcare Center CurrentSince Jul 6, 2015 Accepting new patients
Healthtexas Provider Network Family Medicine CurrentSince Jul 25, 2016 Accepting new patients
Lamb Healthcare Center CurrentSince Jul 6, 2015 Accepting new patients
Healthtexas Provider Network Family Medicine Past Accepting new patients

Locations

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

6301 Gaston Ave
Ste 300
Dallas, TX 75214
Phone (469) 800-7100

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648

1500 S Sunset Ave
Littlefield, TX 79339
Phone (806) 385-6411

Interoperability endpoints

  • Direct secure messaging: camille.robinson@direct.myteamcare.com
  • Direct secure messaging: crobinson226052@direct.sw.org

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1427316322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 GASTON AVE",
            "address_2": "STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752143922",
            "telephone_number": "469-800-7900",
            "fax_number": "469-800-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 GASTON AVE",
            "address_2": "STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752143922",
            "telephone_number": "469-800-7900",
            "fax_number": "469-800-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "CAMILLE",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-27",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q3430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crobinson226052@direct.sw.org",
            "affiliation": "N",
            "address_1": "6301 Gaston Ave",
            "address_2": "Ste 300",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752143922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.