Active NPI
Hallie Bradley, MD
- Orthopaedic Trauma Physician
- Mansfield, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Trauma Physician
- License
- V0695
- Practice address
- 76 Regency Pkwy
Mansfield, TX 76063-7816 - Phone
- (817) 419-0303
- Fax
- (833) 626-1951
- NPI assigned
- Apr 5, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
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.
-
- Orthopaedic Surgery Physician
- Arlington, TX
- NPI 1972582690
TX
-
- Community Based Hospice Care Agency
- San Angelo, TX
- NPI 1063911618
-
- Rehabilitation Clinic/Center
- San Angelo, TX
- NPI 1417086521
-
- Prosthetic/Orthotic Supplier
- Abilene, TX
- NPI 1487787529
-
- Community Based Hospice Care Agency
- Abilene, TX
- NPI 1770612608
-
- Rehabilitation Clinic/Center
- Abilene, TX
- NPI 1922112499
-
- Orthopaedic Surgery Physician
- Mansfield, TX
- NPI 1588357099
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Dallas, TX
- NPI 1992815690
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Baylor College of Medicine, 2018
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Tmi Sports Medicine and Orthopedic Surgery PAThe West Texas Rehabilitation Center
Practice addresses (Care Compare)
3533 Matlock Rd
Arlington, TX 76015-3604
Phone (817) 419-0303
4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3411
Hospital & facility affiliations
- Home Health Professionals Dallas
- Methodist Mansfield Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240926000675 | TX | Practitioner - Orthopedic Surgery | 4486029303 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| V0695 | TX | MD | Orthopaedic Trauma Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tmi Sports Medicine and Orthopedic Surgery PA | Current | Accepting new patients | |
| Tmi Sports Medicine and Orthopedic Surgery PA | Current | Accepting new patients |
Locations
3533 Matlock Rd
Arlington, TX 76015
Phone (817) 419-0303
76 Regency Pkwy
Mansfield, TX 76063
Phone (817) 419-0303
Interoperability endpoints
- hbradley81010@direct.phhs.org
- hbradley3743020@nychhc.direct-ci.com
- hallie.bradley.1@25955.direct.athenahealth.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Trauma Physician | 207XX0801X | V0695 | TX | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
76 Regency Pkwy
Mansfield, TX 76063-7816
Mailing address
3533 Matlock Rd
Arlington, TX 76015-3604
Phone (817) 419-0303
Other practice location 1
3533 Matlock Rd
Arlington, TX 76015-3604
Phone (817) 419-0303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 4, 2024.
{
"created_epoch": "1522886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1669978797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3533 MATLOCK RD",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760153604",
"telephone_number": "817-419-0303",
"fax_number": "833-626-1951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 REGENCY PKWY",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760637816",
"telephone_number": "817-419-0303",
"fax_number": "833-626-1951"
}
],
"practiceLocations": [
{
"address_1": "3533 Matlock Rd",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "TX",
"postal_code": "760153604",
"country_code": "US",
"telephone_number": "817-419-0303",
"fax_number": "833-626-1951",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRADLEY",
"first_name": "HALLIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-05",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "TX",
"license": "V0695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.