Active NPI
Bradley Edwin Cox, D.O.
- Family Medicine Physician
- Redding, CA
National Provider Identifier
1609130087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A12956
- Practice address
- 1505 Victor Ave
Redding, CA 96003 - Phone
- (530) 319-7187
- Fax
- (855) 765-5492
- NPI assigned
- Jun 29, 2012
- Last updated
- Dec 19, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | ||
| Family Medicine Physician | 207Q00000X | 20A12956 | CA | Primary |
Addresses
Primary practice location
1505 Victor Ave
Redding, CA 96003
Mailing address
1505 Victor Ave
Redding, CA 96003
Phone (530) 319-7187
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 18, 2017 through Jul 18, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12956 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545177600000",
"number": "1609130087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 VICTOR AVE",
"city": "REDDING",
"state": "CA",
"postal_code": "96003",
"telephone_number": "530-319-7187",
"fax_number": "855-765-5492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 VICTOR AVE",
"city": "REDDING",
"state": "CA",
"postal_code": "96003",
"telephone_number": "530-319-7187",
"fax_number": "855-765-5492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COX",
"first_name": "BRADLEY",
"middle_name": "EDWIN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-29",
"last_updated": "2018-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A12956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redding, CA
- County of Shasta Through Health & Human Services Agency (Shasta County CCS Redding MTU)
- Court Street Imaging
- Court Street Surgery Center, LP
- Court Street Surgery Center, LP (Redding Surgery Center)
- Courtney Dawson, Rdhap Dental Hygiene Practice, Inc. (Courtney Dawson, RDHAP)
- Brandie Chanel Cox, MFT TRAINEE
- Dianna Kathleen Cox, PHARMD
- Mark Cox, D.M.D.
- Sylvan Cox, M.D.
- Brighten Lynn Crabtree-Salsi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.