Individual provider Active NPI

Jane Bradlaw, D.O.

  • Emergency Medicine Physician
  • Valparaiso, IN
National Provider Identifier
1497911697
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
20A18845 Issued in CA
Practice address
2000 Roosevelt Rd
Department of Emergency Medicine
Valparaiso, IN 46383-2800
Phone
(219) 477-5242
Fax
(219) 477-4859
NPI assigned
Aug 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 20A18845 CA Primary
Emergency Medicine Physician 207P00000X 02003905B IN

Addresses

Primary practice location

2000 Roosevelt Rd
Department of Emergency Medicine
Valparaiso, IN 46383-2800

Mailing address

PO Box 6755
San Diego, CA 92166-0755

Other practice location 1

10710 N Torrey Pines Rd
LA Jolla, CA 92037-1035
Phone (858) 554-8638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110920000017 IN Practitioner - Emergency Medicine 1557556248 Reassigns benefits to 2 organizations
I20211029001245 CA Practitioner - Emergency Medicine 1557556248 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scripps HealthGroup PAC ID 9234033853, 1,450 clinicians
Santa Ynez River Physicians PCGroup PAC ID 7911241229, 21 clinicians
Palomar Emergency Physicians, IncGroup PAC ID 9830593730, 71 clinicians

Practice addresses (Care Compare)

10710 N Torrey Pines Rd
La Jolla, CA 92037-1035
Phone (858) 554-9100

1515 E Ocean Ave
Lompoc, CA 93436-7092
Phone (805) 737-3300

2185 Citracado Pkwy
Escondido, CA 92029-4159
Phone (310) 379-2134

Hospital & facility affiliations

  • Lompoc Valley Medical Center Hospital, Lompoc, CA, CCN 050110
  • Scripps Green Hospital Hospital, La Jolla, CA, CCN 050424
  • Dupont Hospital LLC Hospital, Fort Wayne, IN, CCN 150150
  • Palomar Health Downtown Campus Hospital, Escondido, CA, CCN 050115

Merit-based Incentive Payment System (MIPS)

Final score
95.47 of 100Reported as group
Quality
85.24
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18845CAMDPsychologist
20A18845CAMDEmergency Medicine Physician
02003905BINMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health CurrentSince Oct 20, 2025 Accepting new patients
Telemedicine365 Inc Emergency Medicine CurrentSince Apr 26, 2022 Accepting new patients
Scripps Health Emergency Medicine Current Accepting new patients
North Indiana Emergency Physicians, LLP Emergency Medicine CurrentSince Nov 1, 2015 Accepting new patients
Santa Ynez River Physicians, PC Emergency Medicine CurrentSince Jan 5, 2025 Accepting new patients
Palomar Emergency Physicians, Inc Emergency Medicine CurrentSince Aug 1, 2021 Accepting new patients
Emergency Professionals of Indiana, P.C. Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Scripps Health Emergency Medicine CurrentSince Oct 20, 2025 Accepting new patients
Scripps Clinic Medical Group Past Accepting new patients
Lucas County Emergency Physicians Inc Emergency Medicine Past Accepting new patients

Locations

2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

10710 N Torrey Pines Rd
La Jolla, CA 92037
Phone (858) 554-7993

1515 E Ocean Ave
Lompoc, CA 93436
Phone (805) 737-3300

File 54433
Los Angeles, CA 90074
Phone (858) 784-5645

15615 Pomerado Rd
Poway, CA 92064
Phone (858) 613-4000

5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

2520 E DuPont Rd
Fort Wayne, IN 46825
Phone (219) 407-8000

1007 Lincolnway
Laporte, IN 46350
Phone (219) 325-5474

1331 State St
Laporte, IN 46350
Phone (219) 326-2415

275 W 12th St
Peru, IN 46970
Phone (317) 472-8022

3630 Willowcreek Rd
Portage, IN 46368
Phone (219) 364-3000

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 10

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 4

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": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1497911697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6755",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921660755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 ROOSEVELT RD",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832800",
            "telephone_number": "219-477-5242",
            "fax_number": "219-477-4859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10710 N Torrey Pines Rd",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920371035",
            "country_code": "US",
            "telephone_number": "858-554-8638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADLAW",
        "first_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-06",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "20A18845",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "02003905B",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.