Bradford Bennett Jr., MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

T9639 Issued in TX

Practice address

815 Pennsylvania Ave
Fort Worth, TX 76104-2224

Phone

(817) 321-0404

NPI assigned

Apr 3, 2017

Last updated

May 12, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 9

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX, NH, KS, OR, MT, KY, WV, CO, UT, FL10 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 10

Specialty

Diagnostic Radiology

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Inspire Radiology Group 2 LLCGroup PAC ID 1355870460, 23 clinicians

Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians

Inspire Radiology Group LLCGroup PAC ID 2365975216, 15 clinicians

Baker Community Health Center IncGroup PAC ID 3779689807, 25 clinicians

Gonzales Healthcare SystemsGroup PAC ID 8527963776, 35 clinicians

Community Health AssociationGroup PAC ID 1759291313, 69 clinicians

Delta County Memorial HospitalGroup PAC ID 1850200601, 107 clinicians

Bay Area Hospital DistrictGroup PAC ID 2163331000, 117 clinicians

Dawson County Hospital DistrictGroup PAC ID 6800832155, 25 clinicians

West Virginia University Medical CorporationGroup PAC ID 1052224565, 1,974 clinicians

Kane County Human Resource Special Service DistrictGroup PAC ID 5092603316, 36 clinicians

THS Physician Partners IncGroup PAC ID 9537316393, 366 clinicians

Medlink Management Services IncGroup PAC ID 2466360797, 26 clinicians

Lower Umpqua Hospital DistrictGroup PAC ID 6800703562, 42 clinicians

Pikeville Medical Center IncGroup PAC ID 6709790157, 427 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bay Area Hospital Hospital, Coos Bay, OR, CCN 380090
• Thomas Memorial Hospital Hospital, South Charleston, WV, CCN 510029
• Clark Regional Medical Center Hospital, Winchester, KY, CCN 180092
• Meadowview Regional Medical Center Hospital, Maysville, KY, CCN 180019
• Tristar Northcrest Medical Center Hospital, Springfield, TN, CCN 440065

Merit-based Incentive Payment System (MIPS)

Final score

87.45 of 100Reported as group

Quality

69.6

Promoting interoperability

100

Improvement activities

40

Cost

76.59

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (60 of 97)

Locations (25 of 57)

Interoperability endpoints

• Direct secure messaging: bbennett452396@direct.hopkinsmedicine.org
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Dawson County Hospital District

  dba Medical Arts Hospital

  • Rural Acute Care Hospital
  • Lamesa, TX
  • NPI 1134108053
  Medicare reassignment Care Compare group NPD
• Gonzales Healthcare Systems

  dba Sievers Medical Clinic

  • Rural Health Clinic/Center
  • Gonzales, TX
  • NPI 1013916287
  Medicare reassignment Care Compare group NPD
• Baker Community Health Center Inc

  • Emergency Medicine Physician
  • Macclenny, FL
  • NPI 1396807319

  NH

  Medicare reassignment Care Compare group NPD
• Bay Area Hospital District

  dba Bay Area Hospital

  • General Acute Care Hospital
  • Coos Bay, OR
  • NPI 1225016561
  Medicare reassignment Care Compare group NPD
• Community Health Association

  dba Jackson General Hospital

  • Critical Access Hospital
  • Ripley, WV
  • NPI 1649277476
  Medicare reassignment Care Compare group NPD
• Delta County Memorial Hospital

  dba Delta Health

  • Rural Acute Care Hospital
  • Delta, CO
  • NPI 1417935446
  Medicare reassignment Care Compare group NPD
• Inspire Radiology Group 2 LLC

  • Diagnostic Radiology Physician
  • Coos Bay, OR
  • NPI 1396570644

  NH, TX

  Medicare reassignment Care Compare group NPD
• Inspire Radiology Group LLC

  • Diagnostic Radiology Physician
  • Coos Bay, OR
  • NPI 1487485181

  NH

  Medicare reassignment Care Compare group NPD
• Kane County Human Resource Special Service District

  dba Kane County Hospital

  • General Acute Care Hospital
  • Kanab, UT
  • NPI 1043380991
  Medicare reassignment Care Compare group NPD
• Lower Umpqua Hospital District

  • Critical Access Hospital
  • Reedsport, OR
  • NPI 1003874819
  Medicare reassignment Care Compare group NPD
• Pikeville Medical Center Inc.

  • Multi-Specialty Clinic/Center
  • Pikeville, KY
  • NPI 1528195864
  Medicare reassignment Care Compare group NPD
• Radiology Alliance PC

  • Diagnostic Radiology Physician
  • Nashville, TN
  • NPI 1861478489

  NH

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bay Area Hospital District

  dba Bay Area Hospital

  • General Acute Care Hospital
  • Coos Bay, OR
  • NPI 1225016561
  Care Compare affiliation
• Herbert J. Thomas Memorial Hospital Association

  dba Thomas Memorial Hospital

  • General Acute Care Hospital
  • South Charleston, WV
  • NPI 1316925506
  Care Compare affiliation
• Kentucky Hospital, LLC

  dba Clark Regional Medical Center

  • General Acute Care Hospital
  • Winchester, KY
  • NPI 1811213994
  Care Compare affiliation
• Meadowview Regional Medical Center LLC

  dba Meadowview Regional Medical Center

  • Rural Health Clinic/Center
  • Maysville, KY
  • NPI 1821135518

  Hospital

  Care Compare affiliation
• Meadowview Regional Medical Center LLC

  dba Meadowview Regional Medical Center

  • Rural Acute Care Hospital
  • Maysville, KY
  • NPI 1881785863
  Care Compare affiliation
• Springfield Health Services, LLC

  dba NorthCrest Medical Center

  • General Acute Care Hospital
  • Springfield, TN
  • NPI 1093397184
  Care Compare affiliation

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1609308105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 W CANNON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043146",
            "telephone_number": "817-321-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 PENNSYLVANIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042224",
            "telephone_number": "817-321-0404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 N Sarah DeWitt Dr",
            "address_purpose": "LOCATION",
            "city": "Gonzales",
            "state": "TX",
            "postal_code": "786293311",
            "country_code": "US",
            "telephone_number": "816-800-9020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1460 G St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974774112",
            "country_code": "US",
            "telephone_number": "816-800-9020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Delta",
            "state": "CO",
            "postal_code": "814162815",
            "country_code": "US",
            "telephone_number": "970-874-2470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "BRADFORD",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-03",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "DR.0073875",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "UT",
            "license": "14213246-1235",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME170736",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD221169",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "04-49828",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MT",
            "license": "MED-PHYS-LIC-149152",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NH",
            "license": "24502",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "T9639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000254978",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Doris Gail Benjamin
• Jamie Beth Benjamin, DO
• Kay D Benjamin, OTR
• Tatanisha Benjamin, LPC
• Ryan Elizabeth Benner, PA
• Holly Harrison Bennett, PHARMD.
• Janice A. Bennett, PH.D.
• Jennifer K Bennett, PT
• Keiston F Bennett
• Mary Frances Bennett, LPC

• Diagnostic Radiology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.