Bradley Holmes Paddock, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

150053 Issued in NY

Practice address

182 Steele Ave Lowr Level
Gloversville, NY 12078-4617

Phone

(518) 725-8656

Fax

(518) 773-7824

NPI assigned

Mar 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

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

OtolaryngologyAlso: Sleep Medicine

Education

Albany Medical College of Union University, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nathan Littauer Hospital AssociationGroup PAC ID 4183618101, 94 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Nathan Littauer Hospital Hospital, Gloversville, NY, CCN 330276

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bpaddock.nlh@hixny.net

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.

• Nathan Littauer Hospital Association

  dba Nathan Littauer Hospital and Nursing Home

  • Skilled Nursing Facility
  • Gloversville, NY
  • NPI 1073541850
  Medicare reassignment Care Compare group NPD
• Bradley H Paddock MD

  • Otolaryngology Physician
  • Gloversville, NY
  • NPI 1316463672
  NPD Authorized official
• Nathan Littauer Hospital & Nursing Home

  • General Acute Care Hospital
  • Gloversville, NY
  • NPI 1538296207
  NPD
• Nathan Littauer Hospital Association

  dba Nathan Littauer Primary/Specialty Care Centers

  • Clinic/Center
  • Gloversville, NY
  • NPI 1770671448
  NPD

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

• Nathan Littauer Hospital & Nursing Home

  • General Acute Care Hospital
  • Gloversville, NY
  • NPI 1538296207
  Care Compare affiliation
• Nathan Littauer Hospital Association

  • Pharmacy
  • Gloversville, NY
  • NPI 1285706655

  Hospital

  Care Compare affiliation
• Nathan Littauer Hospital Association

  dba Nathan Littauer Hospital & Nursing Home

  • Rural Acute Care Hospital
  • Gloversville, NY
  • NPI 1336145168
  Care Compare affiliation
• Nathan Littauer Hospital Association

  dba Nathan Littauer Primary/Specialty Care Centers

  • Clinic/Center
  • Gloversville, NY
  • NPI 1770671448

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1649230012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 E STATE ST EXT",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120786039",
            "telephone_number": "518-725-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 STEELE AVE LOWR LEVEL",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120784617",
            "telephone_number": "518-725-8656",
            "fax_number": "518-773-7824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADDOCK",
        "first_name": "BRADLEY",
        "middle_name": "HOLMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "150053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN-NLH",
            "identifier": "J400554086",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00709682",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dominic Orlando, MT-BC
• Mary Kathryn Ormiston, TSHH
• Michelle Lynn Ortlieb, RN
• Cathy Marie Osborne
• Amy Beth Paddock, FNP
• Jamie L Page, COTA
• Diane Palma, MSED
• Faith Eileen Palma, LMHC
• Thomas Paone
• Hasmukhkumar Patel, RPH

• Otolaryngology Physician in Gloversville, NY
• Providers in Gloversville, NY by specialty
• Otolaryngology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.