Thomas F Bradberry, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

17777 Issued in SC

Practice address

2033 Medical Park Dr
Newberry, SC 29108-2249

Phone

(803) 276-5188

Fax

(803) 276-9317

NPI assigned

Aug 14, 2006

Last updated

May 13, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: t.brad@new.directbygreenway.com

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.

• Newberry County Memorial Hospital

  • General Acute Care Hospital
  • Newberry, SC
  • NPI 1710073739
  Medicare reassignment NPD
• Newberry Internal Medicine LLC

  • Internal Medicine Physician
  • Newberry, SC
  • NPI 1992880330
  Medicare reassignment
• Newberry County Memorial Hospital

  dba Newberry Health Primary Care and Pediatrics

  • Family Medicine Physician
  • Newberry, SC
  • NPI 1962213785
  NPD

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305244800000",
    "number": "1649283748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 MEDICAL PARK DR",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291082249",
            "telephone_number": "803-276-5188",
            "fax_number": "803-276-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 MEDICAL PARK DR",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291082249",
            "telephone_number": "803-276-5188",
            "fax_number": "803-276-9317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADBERRY",
        "first_name": "THOMAS",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2011-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "17777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Bills, OTR/L
• Bio-Medical Applications of South Carolina, Inc. (Newberry Dialysis Center)
• Jessica Carole Blake, FNP
• Jeffrey Bodenhamer, A.T.,C.
• Elizabeth Bozard
• Branch & Stafford Optometric Associates, PA (Eye Care Center)
• Sarah H Brickley, OTR/L
• Diane Zybko Broom, DMD
• Robert Leslie Brown, DMD
• Jessica W Bryan, RN, BSN, MSN

• Internal Medicine Physician in Newberry, SC
• Providers in Newberry, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.