NPIMap

Individual provider Active NPI

Bradley Jay Gaul, M.D.

  • Family Medicine Physician
  • Troy, KS
National Provider Identifier
1467569673
Registry record updated Oct 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
421035 Issued in KS
Practice address
207 S Main St.
Troy, KS 66087-0547
Phone
(785) 985-2211
Fax
(785) 985-2444
NPI assigned
Aug 24, 2006
Last updated
Oct 19, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R7G07 MO
Family Medicine Physician 207Q00000X 421035 KS Primary

Addresses

Primary practice location

207 S Main St.
Troy, KS 66087-0547

Mailing address

PO Box 547
Troy, KS 66087-0547
Phone (785) 985-2211

Other identifiers 10

IdentifierTypeStateIssuer
202430245MedicaidMO
2161714OtherAETNA
100147340DMedicaidKS
P00714641OtherMORR MEDICARE
060698OtherKSBLUE CROSS KS
16564066OtherMOBLUE SHIELD KC
058187OtherKSBLUE CROSS KS
10001202700OtherKSCHP
10001202700OtherMOCHP
100147340EMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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
I20050615000466 KS Practitioner - Family Practice 3476503137 Reassigns benefits to 1 organization
I20051209000747 MO Practitioner - Family Practice 3476503137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Regional Medical CenterGroup PAC ID 6709772767, 394 clinicians

Practice addresses (Care Compare)

207 S Main St
Troy, KS 66087-4017
Phone (785) 985-2211

5301 Faraon St
Suite 120
Saint Joseph, MO 64506-3512

5325 Faraon St
Saint Joseph, MO 64506-3488
Phone (816) 271-3500

800 Ravenhill Dr
Atchison, KS 66002-9204

802 Ravenhill Dr
Atchison, KS 66002-9204
Phone (816) 271-1200

810 Ravenhill Dr
Atchison, KS 66002-9204
Phone (913) 367-6675

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.76 of 100Reported as group
Quality
74.35
Promoting interoperability
100
Improvement activities
40
Cost
74.85

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
81.83
Promoting interoperability
99
Improvement activities
40
Cost
74.61

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
421035KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Regional Medical Center CurrentSince Aug 30, 2000 Accepting new patients
Heartland Regional Medical Center CurrentSince Aug 30, 2000 Accepting new patients
Heartland Regional Medical Center PastSince Jan 1, 1990 Accepting new patients
Midwestern Health Management, Inc. Family Medicine Past Accepting new patients
St Joseph Oncology Inc Past Accepting new patients
Heartland Regional Medical Center PastSince Jan 1, 1990 Accepting new patients
Heartland Regional Medical Center PastSince Jan 1, 1990 Accepting new patients
Northwest Medical Center Association, Inc. PastSince Jan 1, 1990 Accepting new patients
Recover-Care Wathena LLC Past Accepting new patients
Heartland Regional Medical Center Family Medicine PastSince Jan 1, 1990 Accepting new patients

Locations

800 Ravenhill Dr
#109
Atchison, KS 66002
Phone (816) 271-4025

207 S Main St
Troy, KS 66087
Phone (785) 985-2211

2303 Village Dr
Saint Joseph, MO 64506
Phone (816) 232-6818

5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070

5301 Faraon St
Ste 120
Saint Joseph, MO 64506
Phone (816) 271-6406

5325 Faraon St
Saint Joseph, MO 64506
Phone (816) 271-3500

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506

901 Heartland Rd
Ste 4810
Saint Joseph, MO 64506
Phone (816) 271-1343

Interoperability endpoints

  • Direct secure messaging: bradley.gaul@direct.mymlc.com

Organizations & group practices 11

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 10

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508371200000",
    "number": "1467569673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "city": "TROY",
            "state": "KS",
            "postal_code": "660870547",
            "telephone_number": "785-985-2211",
            "fax_number": "785-985-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S MAIN ST.",
            "city": "TROY",
            "state": "KS",
            "postal_code": "660870547",
            "telephone_number": "785-985-2211",
            "fax_number": "785-985-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUL",
        "first_name": "BRADLEY",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2017-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R7G07",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "421035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202430245",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2161714",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100147340D",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00714641",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS KS",
            "identifier": "060698",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD KC",
            "identifier": "16564066",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS KS",
            "identifier": "058187",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHP",
            "identifier": "10001202700",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHP",
            "identifier": "10001202700",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100147340E",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, KS

Sources for this page

Verify at the official NPI Registry.