Bradley Wilson Peden, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MD.37069 Issued in AL

Practice address

2601 Village Professional Dr N
Opelika, AL 36801-4784

Phone

(334) 528-5400

Fax

(334) 528-5421

NPI assigned

Apr 10, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

University of Alabama School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Alabama Heart and Vascular, LLCGroup PAC ID 9638344708, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The East Alabama Healthcare Authority Hospital, Opelika, AL, CCN 010029
• Russell Medical Center Hospital, Alexander City, AL, CCN 010065

Merit-based Incentive Payment System (MIPS)

Final score

82.87 of 100Reported as group

Quality

64.65

Promoting interoperability

100

Improvement activities

40

Cost

78.24

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• East Alabama Heart and Vascular, LLC

  • Specialist
  • Opelika, AL
  • NPI 1104193069
  Medicare reassignment Care Compare group NPD
• Oak Mountain Group Services, LLC

  • Hospitalist Physician
  • Birmingham, AL
  • NPI 1366840761
  Medicare reassignment NPD
• East Alabama Heart and Vascular, LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Opelika, AL
  • NPI 1073120119
  NPD
• Oak Mountain Group Services, LLC

  • Physical Medicine & Rehabilitation Physician
  • Vestavia Hills, AL
  • NPI 1609321165
  NPD

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

• Russell Hospital Corporation

  • General Acute Care Hospital
  • Alexander City, AL
  • NPI 1811913460
  Care Compare affiliation
• The East Alabama Health Care Authority

  • General Acute Care Hospital
  • Opelika, AL
  • NPI 1154386431
  Care Compare affiliation

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1629464169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 VILLAGE PROFESSIONAL DR N",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368014784",
            "telephone_number": "334-528-5400",
            "fax_number": "334-528-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 VILLAGE PROFESSIONAL DR N",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368014784",
            "telephone_number": "334-528-5400",
            "fax_number": "334-528-5421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 48th St",
            "address_purpose": "LOCATION",
            "city": "Valley",
            "state": "AL",
            "postal_code": "368543611",
            "country_code": "US",
            "telephone_number": "334-756-8425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEDEN",
        "first_name": "BRADLEY",
        "middle_name": "WILSON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-10",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD.37069",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "MD.37069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Katarzyna Patkowska, MD
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• Mallory Payne, OTR/L, ATC
• Marlena Grace Payne, LAT, ATC
• Jessica Leigh Pedersen, ARNP
• Pediatric Associates of Auburn
• Pediatric Clinic LLC
• Pediatric Dentistry Associates, PC
• Perception Therapy LLC

• Cardiovascular Disease Physician in Opelika, AL
• Providers in Opelika, AL by specialty
• Cardiovascular Disease Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.