Bradley Martin, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-105949 Issued in AL

Practice address

100 Pilot Medical Dr
Suite 250
Birmingham, AL 35235-3411

Phone

(205) 838-3034

Fax

(205) 870-7107

NPI assigned

Apr 1, 2014

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 AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: bradley.martin.1@9069.direct.athenahealth.com

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.

• Birmingham Heart Clinic, PLLC

  • Specialist
  • Birmingham, AL
  • NPI 1508932583
  Medicare reassignment NPD
• Vincentian Physician Services LLC

  • Family Medicine Physician
  • Birmingham, AL
  • NPI 1851698310
  Medicare reassignment NPD
• Birmingham Heart Clinic, PLLC

  • Cardiac Rehabilitation Registered Nurse
  • Birmingham, AL
  • NPI 1285449892
  NPD

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1649698275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PILOT MEDICAL DR STE 300",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353412",
            "telephone_number": "205-856-2284",
            "fax_number": "205-815-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PILOT MEDICAL DR",
            "address_2": "SUITE 250",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353411",
            "telephone_number": "205-838-3034",
            "fax_number": "205-870-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BRADLEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-01",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-105949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela R. Martin, ALC
• Ashley Nicole Martin, BCBA
• Aubrey Martin
• Barry W Martin, MD
• Bess Wells Martin, PT
• C. Douglas Martin, D.M.D.
• Cody Martin
• Connie McMichael Martin, MS,RD,LD
• David Antone Martin, LPC
• Domonique Marie Martin, DPT

• Nurse Practitioner in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.