Individual provider Active NPI

Joseph Pohl Bradley, MD

  • Otolaryngology Physician
  • Kirkwood, MO
National Provider Identifier
1639330244
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
2010006689 Issued in MO
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

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200015081MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20140529001333 MO Practitioner - Otolaryngology 8921245952 Reassigns benefits to 3 organizations
I20220429001307 IN Practitioner - Otolaryngology 8921245952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology of St Louis IncGroup PAC ID 6204723786, 112 clinicians
Deaconess Clinic IncGroup PAC ID 3375610116, 411 clinicians

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 Hospital, Saint Charles, MO, CCN 260005
  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
  • SSM St Clare Health Center Hospital, Fenton, MO, CCN 260081
  • St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179
  • Missouri Baptist Medical Center Hospital, Saint Louis, MO, CCN 260108

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2010006689MOMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Clinic Inc. Current Accepting new patients
Urology of St. Louis, Inc. CurrentSince Aug 5, 2024 Accepting new patients
Deaconess Clinic, Inc. Otolaryngology CurrentSince May 5, 2022 Accepting new patients
Washington University CurrentSince Jul 1, 2014 Accepting new patients
Urology of St. Louis, Inc. CurrentSince Aug 5, 2024 Accepting new patients
Sound Health Services P.C. Otolaryngology CurrentSince Dec 19, 2022 Accepting new patients
Deaconess Clinic Inc CurrentSince May 5, 2022 Accepting new patients
Washington University CurrentSince Jul 1, 2014 Accepting new patients
Ozarks Medical Center Otolaryngology Past Accepting new patients
Urology of St. Louis, Inc. PastSince Mar 24, 2025 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

  • Direct secure messaging: jbradley231124@direct.deaconess.com
  • Direct secure messaging: jbradley438981@direct-ehr-ssmhc.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.