Individual provider Active NPI

Hallie Bradley, MD

  • Orthopaedic Trauma Physician
  • Mansfield, TX
National Provider Identifier
1669978797
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
License
V0695 Issued in TX
Practice address
76 Regency Pkwy
Mansfield, TX 76063-7816
Phone
(817) 419-0303
Fax
(833) 626-1951
NPI assigned
Apr 5, 2018
Last updated
Sep 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Trauma Physician 207XX0801X V0695 TX Primary

Addresses

Primary 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

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240926000675 TX Practitioner - Orthopedic Surgery 4486029303 Reassigns benefits to 1 organization

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 PAGroup PAC ID 1052399508, 19 clinicians
The West Texas Rehabilitation CenterGroup PAC ID 2860301215, shared by 5 NPIs, 444 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
V0695TXMDOrthopaedic Trauma Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tmi Sports Medicine and Orthopedic Surgery PA CurrentSince Oct 1, 2024 Accepting new patients
Tmi Sports Medicine and Orthopedic Surgery PA CurrentSince Oct 1, 2024 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

  • Direct secure messaging: hallie.bradley.1@25955.direct.athenahealth.com
  • Direct secure messaging: hbradley3743020@nychhc.direct-ci.com
  • Direct secure messaging: hbradley81010@direct.phhs.org

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 2

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": "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

Verify at the official NPI Registry.