Active NPI
Joseph Pohl Bradley, MD
- Otolaryngology Physician
- Kirkwood, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 2010006689
- Practice address
- 1001 S Kirkwood Rd Ste 320
Kirkwood, MO 63122-7250 - Phone
- (314) 722-4545
- NPI assigned
- Jun 17, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 2010006689 | MO | Primary |
Addresses
Primary practice location
1001 S Kirkwood Rd Ste 320
Kirkwood, MO 63122-7250
Mailing address
PO Box 14369
Saint Louis, MO 63178-4369
Phone (314) 729-0077
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200015081 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1010 Old Des Peres Rd
Des Peres, MO 63131-1865
Phone (314) 729-0077
12855 N 40 Dr
125 Neurosurgery of St Louis
Saint Louis, MO 63141-8663
Phone (314) 806-1770
12855 N 40 Dr
Arch Cancer Care
Saint Louis, MO 63141-8622
Phone (314) 523-5444
226 S Woods Mill Rd
37W Sound Health Services
Chesterfield, MO 63017-3442
Phone (314) 523-5300
4015 Gateway Blvd
Newburgh, IN 47630-8925
Phone (812) 858-9400
4651 Hwy K
O Fallon, MO 63368-8690
Phone (314) 722-4545
Hospital & facility affiliations
- SSM St Joseph Health Center
- Deaconess Hospital Inc
- SSM St Clare Health Center
- St Lukes Hospital
- Missouri Baptist Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010006689 | MO | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Clinic Inc. | Current | Accepting new patients | |
| Urology of St. Louis, Inc. | Current | Accepting new patients | |
| Deaconess Clinic, Inc. | Otolaryngology | Current | Accepting new patients |
| Washington University | Current | Accepting new patients | |
| Urology of St. Louis, Inc. | Current | Accepting new patients | |
| Sound Health Services P.C. | Otolaryngology | Current | Accepting new patients |
| Deaconess Clinic Inc | Current | Accepting new patients | |
| Washington University | Current | Accepting new patients | |
| Ozarks Medical Center | Otolaryngology | Past | Accepting new patients |
| Urology of St. Louis, Inc. | Past | Accepting new patients |
Locations
350 W Columbia St
Ste 200
Evansville, IN 47710
Phone (812) 425-2646
421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645
4015 Gateway Blvd
Newburgh, IN 47630
Phone (812) 858-6244
1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187
4651 Highway K
O Fallon, MO 63368
Phone (314) 523-5300
1044 N Mason Rd
Ste L20
Saint Louis, MO 63141
Phone (314) 996-3800
1020 N Mason Rd
Ste 205
Saint Louis, MO 63141
Phone (314) 996-3430
12855 N 40 Dr
Saint Louis, MO 63141
Phone (314) 432-4415
4921 Parkview Pl
Ste 11A
Saint Louis, MO 63110
Phone (314) 362-7489
1 Barnes Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-9170
660 S Euclid Ave
#8115
Saint Louis, MO 63110
Phone (314) 362-7395
1010 Old des Peres Rd
Saint Louis, MO 63131
Phone (314) 238-2535
660 S Euclid Ave
#C
Saint Louis, MO 63110
1001 S Kirkwood Rd
Ste 320
Saint Louis, MO 63122
Phone (314) 722-4545
Interoperability endpoints
- jbradley231124@direct.deaconess.com
- jbradley438981@direct-ehr-ssmhc.com
- jbradley154549@direct.carenet.org
Organizations & group practices 10
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.
-
- Specialist
- Saint Louis, MO
- NPI 1528017191
-
- Internal Medicine Physician
- Evansville, IN
- NPI 1619123585
-
- Otolaryngology Physician
- Saint Louis, MO
- NPI 1811988611
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1356381842
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1962442475
-
- Pediatrics Physician
- Washington, IN
- NPI 1356132310
-
- Otolaryngology Physician
- Evansville, IN
- NPI 1003211244
-
- Specialist
- O Fallon, IL
- NPI 1265392476
-
- Urology Physician
- Fairview Heights, IL
- NPI 1528901287
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1487663506
-
- General Acute Care Hospital
- Saint Charles, MO
- NPI 1467521146
-
- General Acute Care Hospital
- Fenton, MO
- NPI 1851496152
-
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
-
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1639330244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14369",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631784369",
"telephone_number": "314-729-0077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 S KIRKWOOD RD STE 320",
"city": "KIRKWOOD",
"state": "MO",
"postal_code": "631227250",
"telephone_number": "314-722-4545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "JOSEPH",
"middle_name": "POHL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-17",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MO",
"license": "2010006689",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200015081",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kirkwood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.