Individual provider Active NPI

Bradley Reinke, MD

  • Emergency Medicine Physician
  • Stockton, CA
National Provider Identifier
1538178538
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G58111 Issued in CA
Practice address
525 West Acacia Street
Stockton, CA 95203-2405
Phone
(209) 944-5550
NPI assigned
Aug 7, 2006
Last updated
May 20, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response Attendant 146D00000X G58444 CA
Emergency Medicine Physician 207P00000X G58111 CA Primary

Addresses

Primary practice location

525 West Acacia Street
Stockton, CA 95203-2405

Mailing address

P.O. Box 11101
Westminster, CA 92685-1101
Phone (866) 878-5075

Other identifiers 1

IdentifierTypeStateIssuer
00G581110MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MS, AL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040617000637 CA Practitioner - Emergency Medicine 9133103948 Reassigns benefits to 3 organizations
I20200102000312 MS Practitioner - Emergency Medicine 9133103948 Reassigns benefits to 4 organizations
I20241206000490 AL Practitioner - Emergency Medicine 9133103948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Oral Roberts University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alteon Health Alabama, LLCGroup PAC ID 5698830552, 38 clinicians

Practice addresses (Care Compare)

604 Stone Ave
Talladega, AL 35160-2217
Phone (240) 686-2300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
99.7
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
42.86 of 100Reported as group
Quality
0
Improvement activities
40
Cost
74.29

Merit-based Incentive Payment System (MIPS)

Final score
73.84 of 100Reported as group
Quality
26.67
Improvement activities
40
Cost
80.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G58444CAMDPersonal Emergency Response Attendant
G58111CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Viejo Emergency Medical Associates, Inc. Emergency Medicine CurrentSince Mar 27, 2024 Accepting new patients
Jackson HB Medical Services LLC Emergency Medicine CurrentSince Oct 14, 2023 Accepting new patients
Alteon Health Alabama, LLC Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
Hattiesburg HB Medical Services LLC Emergency Medicine CurrentSince Jul 20, 2023 Accepting new patients
Sonoma Valley Emergency Physicians Medical Group, Inc Emergency Medicine CurrentSince Feb 19, 2025 Accepting new patients
App of Mississippi Ed, LLC Emergency Medicine CurrentSince Jan 1, 2020 Accepting new patients
Natchez HB Medical Services LLC Emergency Medicine CurrentSince Jul 19, 2023 Accepting new patients
Mississippi Emergency Department Services PC Emergency Medicine CurrentSince Apr 29, 2025 Accepting new patients
Amador Emergency Physicians Medical Group, Inc Emergency Medicine Past Accepting new patients
Joshua Tree Emergency Physicians Medical Group, Inc Emergency Medicine Past Accepting new patients

Locations

3400 Highway 78 E
Jasper, AL 35501
Phone (205) 387-4000

604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111

1375 University St
Healdsburg, CA 95448
Phone (707) 385-2025

31872 Coast Hwy
Laguna Beach, CA 92651
Phone (949) 499-1311

400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111

347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000

150 Reynoir St
Biloxi, MS 39530
Phone (228) 284-2389

5001 Hardy St
Hattiesburg, MS 39402
Phone (601) 268-8000

1030 River Oaks Dr
Jackson, MS 39232
Phone (601) 376-2165

1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000

54 Sgt Prentiss Dr
Natchez, MS 39120
Phone (601) 443-2100

3109 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 818-1100

2809 Denny Ave
Pascagoula, MS 39581
Phone (228) 809-5000

5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556

Interoperability endpoints

  • Direct secure messaging: breinke44115@hisp.ehr.sutterhealth.org

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 5

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1538178538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 11101",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926851101",
            "telephone_number": "866-878-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 WEST ACACIA STREET",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952032405",
            "telephone_number": "209-944-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINKE",
        "first_name": "BRADLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "CA",
            "license": "G58444",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G58111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G581110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.