Michael Barton Bradley, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

29086 Issued in TN

Practice address

3185 W State St
Suite 2010
Bristol, TN 37620-1610

Phone

(423) 968-7555

Fax

(423) 968-7641

NPI assigned

Aug 30, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

97.18 of 100Reported as group

Quality

94.36

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457461733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3185 W STATE ST",
            "address_2": "SUITE 2010",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376201610",
            "telephone_number": "423-968-7555",
            "fax_number": "423-968-7641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3185 W STATE ST",
            "address_2": "SUITE 2010",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376201610",
            "telephone_number": "423-968-7555",
            "fax_number": "423-968-7641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "MICHAEL",
        "middle_name": "BARTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "29086",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101056321",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "382476",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3064606",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blaine Bowman, PHARMD
• Robin Elaine Bowman, N.P.
• Gary C Boyle, M.D.
• John Christopher Braddock, LPC
• Katherine Elaine Bradley, FNP
• Brandon M. Cole, LPC, MHSP, PLLC
• Jim Carroll Brasfield, M.D.
• Samuel Lucas Brashears, MD
• Breast Prostheses & Orthotics Inc
• David Albert Brenner, MD

• Ophthalmology Physician in Bristol, TN
• Providers in Bristol, TN by specialty
• Ophthalmology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.