NPIMap

Individual provider Active NPI

Courtney Harrison Bradenham, MD

  • Diagnostic Radiology Physician
  • North Chesterfield, VA
National Provider Identifier
1437460201
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101259684 Issued in VA
Practice address
2602 Buford Rd
2602 Buford Road
North Chesterfield, VA 23235-3422
Phone
(804) 272-8806
Fax
(804) 272-2909
NPI assigned
Jun 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0101259684 VA Primary

Addresses

Primary practice location

2602 Buford Rd
2602 Buford Road
North Chesterfield, VA 23235-3422

Mailing address

2602 Buford Road
Radiology Associates of Richmond, Inc.
N. Chesterfield, VA 23235-1010
Phone (804) 272-8806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, VA2 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
I20150504001455 MO Practitioner - Diagnostic Radiology 9537398698 Reassigns benefits to 1 organization
I20160802002827 VA Practitioner - Diagnostic Radiology 9537398698 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101259684VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Consultants of Lynchburg Inc CurrentSince Dec 1, 2022 Accepting new patients
Short Pump Imaging LLC CurrentSince Jan 1, 2022 Accepting new patients
Chesterfield Imaging LLC CurrentSince Apr 1, 2011 Accepting new patients
Washington University Diagnostic Radiology CurrentSince Jun 15, 2015 Accepting new patients
Wahoo Radiology, PLLC Diagnostic Radiology Past Accepting new patients

Locations

510 S Kingshighway Blvd
Saint Louis, MO 63110
Phone (314) 362-0177

510 S Kingshighway Blvd
#8131
Saint Louis, MO 63110
Phone (314) 362-2900

1 Barnes Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-9170

113 Nationwide Dr
Lynchburg, VA 24502
Phone (434) 237-4004

Organizations & group practices 6

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.

Hospital & facility affiliations 10

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

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Vanderbilt University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Richmond Inc 70 clinicians

Practice addresses (Care Compare)

13636 Hull St Rd
Midlothian, VA 23112-2108
Phone (804) 272-8806

1401 Johnston Willis Dr
North Chesterfield, VA 23235-4730
Phone (804) 272-8806

2621 Grove Ave
Richmond, VA 23220-4308
Phone (804) 272-8806

411 W Randolph Rd
Hopewell, VA 23860-2938
Phone (804) 272-8806

4200 Greybull Dr
Suite 100
Richmond, VA 23233-7555
Phone (804) 272-8806

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408-7762
Phone (804) 272-8806

7101 Jahnke Rd
Richmond, VA 23225-4017
Phone (804) 272-8806

7700 E Parham Rd
Richmond, VA 23294-4301
Phone (804) 272-8806

930 S Ave
Suite 1
Colonial Heights, VA 23834-3620
Phone (804) 272-8806

Hospital & facility affiliations

  • CJW Medical Center Hospital, Richmond, VA, CCN 490112
  • Henrico Doctors' Hospital Hospital, Richmond, VA, CCN 490118
  • Spotsylvania Regional Medical Center Hospital, Fredericksburg, VA, CCN 490141
  • John Randolph Medical Center Hospital, Hopewell, VA, CCN 490020
  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

NPI Registry JSON

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1437460201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 BUFORD ROAD",
            "address_2": "RADIOLOGY ASSOCIATES OF RICHMOND, INC.",
            "city": "N. CHESTERFIELD",
            "state": "VA",
            "postal_code": "232351010",
            "telephone_number": "804-272-8806",
            "fax_number": "804-272-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 BUFORD RD",
            "address_2": "2602 BUFORD ROAD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232353422",
            "telephone_number": "804-272-8806",
            "fax_number": "804-272-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADENHAM",
        "first_name": "COURTNEY",
        "middle_name": "HARRISON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-28",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101259684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.