Bradley Michael Fotopoulos, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801104686 Issued in MI

Practice address

1217 S Euclid Ave
Bay City, MI 48706-3311

Phone

(989) 667-9661

Fax

(989) 667-9680

NPI assigned

Feb 26, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mpa Group NFP LTDGroup PAC ID 1951499805, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Mpa Group NFP, LTD.

  • Mental Health Counselor
  • Bay City, MI
  • NPI 1174741649
  Medicare reassignment Care Compare group
• Calmwave Counseling PLLC

  • Adult Mental Health Clinic/Center
  • Bay City, MI
  • NPI 1144187048
  NPD Authorized official

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1457852402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 S EUCLID AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487063311",
            "telephone_number": "989-667-9661",
            "fax_number": "989-667-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 S EUCLID AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487063311",
            "telephone_number": "989-667-9661",
            "fax_number": "989-667-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOTOPOULOS",
        "first_name": "BRADLEY",
        "middle_name": "MICHAEL",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-26",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801104686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Forster
• Joshua D Forsyth, MD
• Josie Foss, M.A., CF-SLP
• Amari Foster
• Joann Foster, MA LPC
• Vanessa Fotopoulos, LMSW
• Kayla Beth Fournier
• Jessica Foutch
• Denise Jane Fowler, LMT
• Ancy Jenil Franco

• Clinical Social Worker in Bay City, MI
• Providers in Bay City, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.