Organization Active NPI

Bradley Hunter, DO, LLC

  • Family Medicine Physician
  • Rockville, MD
National Provider Identifier
1437725017
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BRADLEY HUNTER, DO, LLC
Practice address
9715 Medical Center Dr Ste 321
Rockville, MD 20850-6307
Phone
(240) 728-2378
Fax
(833) 907-2442
NPI assigned
Jun 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Authorized official

Name
Bradley Hunter, DONPI 1497703581
Title
Owner / Physician
Phone
(240) 498-1428

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

9715 Medical Center Dr Ste 321
Rockville, MD 20850-6307

Mailing address

9715 Medical Center Dr Ste 321
Rockville, MD 20850-6307
Phone (204) 386-8379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210702000477 DC Part B Supplier - Clinic/Group Practice 2567863103 Receives reassigned benefits from 1 practitioner
Practice locations: Rockville, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2236545Bradley Hunter DO LLC9715 Medical Center Drive 321, Rockville, MD 20850Certificate of waiverSep 16, 2027

National Provider Directory

National Provider Directory

Locations

9715 Medical Center Dr
Ste 321
Rockville, MD 20850
Phone (240) 386-8379

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1437725017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9715 MEDICAL CENTER DR STE 321",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506307",
            "telephone_number": "204-386-8379",
            "fax_number": "301-605-7453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9715 MEDICAL CENTER DR STE 321",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506307",
            "telephone_number": "240-728-2378",
            "fax_number": "833-907-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY HUNTER, DO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-03",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "240-498-1428",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.