NPIMap

Individual provider Active NPI

Bradley Marcus Genovese, M.D

  • Vascular Surgery Physician
  • Laguna Niguel, CA
National Provider Identifier
1437418886
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
94365 Issued in MT
Practice address
30432 Paseo del Valle
Laguna Niguel, CA 92677-2313
Phone
(949) 683-3072
NPI assigned
May 4, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CA
Vascular Surgery Physician 2086S0129X 94365 MT Primary

Addresses

Primary practice location

30432 Paseo del Valle
Laguna Niguel, CA 92677-2313

Mailing address

PO Box 35100
Billings, MT 59107-5100
Phone (406) 238-2500

Other practice location 1

801 N 29th St
Billings, MT 59101-0905
Phone (406) 238-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bgenovese@billingsclinic.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, WY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210714003549 MT Practitioner - Thoracic Surgery 1850615626 Reassigns benefits to 1 organization
I20260504008164 WY Practitioner - Cardiac Surgery 1850615626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Surgery
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Billings ClinicGroup PAC ID 6002993516, 814 clinicians

Practice addresses (Care Compare)

201 Yellowstone Ave
Cody, WY 82414-9313
Phone (307) 527-7561

2800 10TH Ave N
Billings, MT 59101-0703
Phone (406) 657-4000

3901 Wellness Way
Bozeman, MT 59718-2402
Phone (406) 898-1200

3905 Wellness Way
Bozeman, MT 59718-2402
Phone (406) 898-1200

801 N 29TH St
Billings, MT 59101-0905
Phone (406) 238-2500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Coronary artery bypass graft (CABG)20
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
94365MTMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Billings Clinic CurrentSince Aug 16, 2021 Accepting new patients
Billings Clinic CurrentSince Aug 16, 2021 Accepting new patients
Billings Clinic Current Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

801 N 29th St
Billings, MT 59101
Phone (406) 238-2210

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

201 Yellowstone Ave
Cody, WY 82414
Phone (307) 527-7561

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 9

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": "1336089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1437418886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35100",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591075100",
            "telephone_number": "406-238-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30432 PASEO DEL VALLE",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772313",
            "telephone_number": "949-683-3072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 N 29th St",
            "address_purpose": "LOCATION",
            "city": "Billings",
            "state": "MT",
            "postal_code": "591010905",
            "country_code": "US",
            "telephone_number": "406-238-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENOVESE",
        "first_name": "BRADLEY",
        "middle_name": "MARCUS",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-04",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MT",
            "license": "94365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bgenovese@billingsclinic.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "801 N 29th St",
            "city": "Billings",
            "state": "MT",
            "country_code": "US",
            "postal_code": "591010905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

Verify at the official NPI Registry.