David Daniel Bradley, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101228716 Issued in VA

Practice address

2460 Lee Hwy N
Pulaski, VA 24301-2335

Phone

(540) 980-8804

Fax

(540) 980-8161

NPI assigned

Feb 6, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Internal Medicine

Education

University of California, Irvine, California College of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kingsford Physician Services LLC 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lewisgale Hospital Pulaski Hospital, Pulaski, VA, CCN 490116
• Lewisgale Hospital Montgomery Hospital, Blacksburg, VA, CCN 490110

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Kingsford Physician Services, LLC

  • Hospitalist Physician
  • Pulaski, VA
  • NPI 1871088526

  VA

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Montgomery Regional Hospital Inc

  • General Acute Care Hospital
  • Blacksburg, VA
  • NPI 1275570376

  Hospital

  Care Compare affiliation
• Pulaski Community Hospital Inc

  • General Acute Care Hospital
  • Pulaski, VA
  • NPI 1205882396

  Hospital

  Care Compare affiliation
• Pulaski Community Hospital, Inc.

  • Psychiatric Hospital Unit
  • Pulaski, VA
  • NPI 1477018893

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249516800000",
    "number": "1689646374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 LEE HWY N",
            "city": "PULASKI",
            "state": "VA",
            "postal_code": "243012335",
            "telephone_number": "540-980-8804",
            "fax_number": "540-980-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 LEE HWY N",
            "city": "PULASKI",
            "state": "VA",
            "postal_code": "243012335",
            "telephone_number": "540-980-8804",
            "fax_number": "540-980-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "DAVID",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2009-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101228716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5844461",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ramesh Bakane, MD
• Keith Alan Bauer, PHD, LCSW
• Brian Lee Bertholomey, DDS
• Amanda Blevins
• Ann Barrier Bondurant, LPC
• George Frederick Brame II, CRNA
• Kathleen Brennan, DNP
• Daniel John Butler, ED.S.
• Camelot Outpatient Services, LLC
• Camelot Therapeutic Schools, LLC

• All providers in Pulaski, VA
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; 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.

Verify at the official NPI Registry.