Individual provider Active NPI

Bradley T Sumrall, MD

  • Medical Oncology Physician
  • Macon, GA
National Provider Identifier
1679689301
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
69720 Issued in GA
Practice address
5430 Bowman Rd
Macon, GA 31210-8879
Phone
(478) 743-7068
Fax
(478) 741-1354
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 069720 GA
Medical Oncology Physician 207RX0202X 69720 GA Primary

Addresses

Primary practice location

5430 Bowman Rd
Macon, GA 31210-8879

Mailing address

5430 Bowman Rd
Macon, GA 31210-8879
Phone (478) 743-7068

Other practice location 1

114 Sutherlin Dr Ste C1
Warner Robins, GA 31088-2266
Phone (478) 743-7068

Other identifiers 5

IdentifierTypeStateIssuer
003133948HMedicaidGA
003133948BMedicaidGA
003133948GMedicaidGA
003133948FMedicaidGA
003133948AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20130624000360 GA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 1557368198 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Medical College of Georgia School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Oncology Partners PAGroup PAC ID 0042569758, 377 clinicians

Practice addresses (Care Compare)

800 1St St
Suite 410
Macon, GA 31201-8306
Phone (478) 743-7068

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69720GAMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Georgia Cancer Care Specialist CurrentSince Jul 1, 2013 Accepting new patients
American Oncology Partners PA Medical Oncology CurrentSince Jun 1, 2024 Accepting new patients
Coastal Inpatient Physicians, LLC Specialist Past Accepting new patients

Locations

1111 Glynco Pkwy
Ste 35
Brunswick, GA 31525
Phone (912) 304-7013

1062 Forsyth St
Ste 1B
Macon, GA 31201
Phone (478) 743-7068

5430 Bowman Rd
Macon, GA 31210
Phone (478) 314-1667

800 1st St
Ste 410
Macon, GA 31201
Phone (478) 743-7068

114 Sutherlin Dr
Ste C1
Warner Robins, GA 31088
Phone (478) 287-6144

Organizations & group practices 3

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.

Hospital & facility affiliations 7

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1679689301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 BOWMAN RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312108879",
            "telephone_number": "478-743-7068",
            "fax_number": "478-741-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 BOWMAN RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312108879",
            "telephone_number": "478-743-7068",
            "fax_number": "478-741-1354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Sutherlin Dr Ste C1",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310882266",
            "country_code": "US",
            "telephone_number": "478-743-7068",
            "fax_number": "478-741-1354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUMRALL",
        "first_name": "BRADLEY",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "069720",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "GA",
            "license": "69720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003133948H",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003133948B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003133948G",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003133948F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003133948A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.