NPIMap

Individual provider Active NPI

Todd Wesley Bradshaw, M.D.

  • Orthopaedic Surgery Physician
  • Amarillo, TX
National Provider Identifier
1669636031
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
N8617 Issued in TX
Practice address
1100 S Coulter St
Amarillo, TX 79106-1836
Phone
(806) 468-9700
Fax
(806) 468-9771
NPI assigned
Jul 15, 2008
Last updated
Mar 12, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X N8617 TX
Orthopaedic Surgery Physician 207X00000X N8617 TX Primary

Addresses

Primary practice location

1100 S Coulter St
Amarillo, TX 79106-1836

Mailing address

1100 S Coulter St
Amarillo, TX 79106-1836
Phone (806) 468-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140915000785 TX Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 5294954822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Texas Tech University Health Science Center School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amarillo Bone and Joint Clinic PLLCGroup PAC ID 6103978499, 17 clinicians

Practice addresses (Care Compare)

1100 S Coulter St
Amarillo, TX 79106-1836
Phone (806) 468-9700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
30.05 of 100Reported as group
Quality
27.83
Promoting interoperability
0
Improvement activities
10
Cost
59.83

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)103

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Amarillo Bone & Joint Clinic, PLLC Orthopaedic Surgery CurrentSince Aug 1, 2014 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

1100 S Coulter St
Amarillo, TX 79106
Phone (806) 242-0101

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426118400000",
    "number": "1669636031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S COULTER ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061836",
            "telephone_number": "806-468-9700",
            "fax_number": "806-468-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S COULTER ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061836",
            "telephone_number": "806-468-9700",
            "fax_number": "806-468-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADSHAW",
        "first_name": "TODD",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-15",
        "last_updated": "2015-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "N8617",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "N8617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.