Bradley Drake, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

SA49TA629 Issued in AL

Practice address

697 Highway 31 NW
Hartselle, AL 35640-4408

Phone

(256) 773-3997

Fax

(256) 773-8993

NPI assigned

Jan 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Drake Eye Center IncGroup PAC ID 0446467898, 3 clinicians

Bradley S. Drake, PCGroup PAC ID 1254374416, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bradley S. Drake, PC

  • Optometrist
  • Hartselle, AL
  • NPI 1407828379
  Medicare reassignment Care Compare group NPD
• Drake Eye Center Inc

  • Optometrist
  • Hartselle, AL
  • NPI 1073692265
  Medicare reassignment Care Compare group NPD
• Drake Eye Center Inc

  • Optometrist
  • Decatur, AL
  • NPI 1699661496
  NPD

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1528048469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 HIGHWAY 31 NW",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "356402849",
            "telephone_number": "256-773-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 HIGHWAY 31 NW",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "356404408",
            "telephone_number": "256-773-3997",
            "fax_number": "256-773-8993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "BRADLEY",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "SA49TA629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009937485",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caroline S Donaldson, COTA
• Dr Wilbourne R Crouch, M.D.
• Dr. Amit V. Vora
• Drake Eye Center Inc
• Ashlee Mae Drake, CRNP
• Allison Marie Duffy
• Renata Dukes
• Dunlap Drug Co Inc
• Tommie Lindel Dunlap, RPHA
• Pamela Leigh Ehlman, COTA/L

• Optometrist in Hartselle, AL
• Providers in Hartselle, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.