Ann Bradley, DR. OF AUDIOLOGY

Primary specialty

AudiologistTaxonomy code 231H00000X

License

A 00907 Issued in OH

Practice address

4710 Troy Pike
Dayton, OH 45424-5740

Phone

(937) 233-1230

Fax

(937) 236-8930

NPI assigned

Apr 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest Ohio ENT Specialists IncGroup PAC ID 2163403098, 42 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HDIFCD

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.

• Southwest Ohio ENT Specialists Inc

  • Otolaryngology Physician
  • Dayton, OH
  • NPI 1255301560
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512691200000",
    "number": "1497979579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 S PATTERSON BLVD",
            "address_2": "STE 400",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454022642",
            "telephone_number": "937-496-2620",
            "fax_number": "937-424-8518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 TROY PIKE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454245740",
            "telephone_number": "937-233-1230",
            "fax_number": "937-236-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "DR. OF AUDIOLOGY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2017-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A 00907",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "OH",
            "license": "A 00907",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "OH",
            "license": "A 00907",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0510772",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM GROUP #",
            "identifier": "000000221897",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brad Enterprises, Inc.
• Fallon Bradford
• Robyn Bradford, LPN
• Holli Virginia Bradham, CDCA
• Amber Brading, QMHS/CMS
• Cherrie Lee Bradley
• Dora Lee Bradley, CNA
• Michelle Bradley
• Robert Bradley, CRNA
• Vanessa Chante Bradley

• Audiologist in Dayton, OH
• Providers in Dayton, OH by specialty
• Audiologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; 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.