Jeffrey D Bradley, MD
Individual provider Active NPI Radiation Oncology Physician · Saint Louis, MO
NPI 1699793232 · NPPES record last updated Jan 24, 2018
Key facts
- NPI
- 1699793232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Radiation Oncology Physician 2085R0001X
- License
- 115804 (MO)
- Practice address
- 4921 Parkview PL
LL
Saint Louis, MO 63110-1032 - Phone
- (314) 454-7236
- Fax
- (314) 362-7769
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 23
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Radiation Oncology
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- University of Penn-Medical Group
Practice addresses (Care Compare)
3400 Civic Ctr Blvd
Philadelphia, PA 19104-5127
Phone (215) 662-2428
Hospital & facility affiliations
- Hospital of Univ of Pennsylvania
- Chester County Hospital
- Penn Presbyterian Medical Center
- Pennsylvania Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.91 of 100
- Quality
- 73.58
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.13
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in GA, PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190917002582 | GA | Practitioner - Radiation Oncology | 8729113717 | Reassigns benefits to 3 organizations |
| I20230901001595 | PA | Practitioner - Radiation Oncology | 8729113717 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115804 | MO | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Penn-Medical Group | Current |
Accepting new patients | |
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| Emory Medical Care Foundation Inc | Radiation Oncology | Current |
Accepting new patients |
| University of Penn-Medical Group | Current | Accepting new patients | |
| The Emory Clinic Inc | Current |
Accepting new patients | |
| University of Penn-Medical Group | Current |
Accepting new patients | |
| Emory Medical Care Foundation Inc | Current |
Accepting new patients | |
| Georgia Protoncare Center, Inc. | Current |
Accepting new patients | |
| Univ of Penn Radiation Oncology | Radiation Oncology | Past | Accepting new patients |
| University of Penn - Medical Group | Past | Accepting new patients |
Locations
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
615 Peachtree St NE
Atlanta, GA 30308
Phone (410) 706-4919
101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889
1001 Chesterbrook Blvd
Berwyn, PA 19312
Phone (610) 576-7500
599 W State St
Ste 103
Doylestown, PA 18901
Phone (267) 880-2710
3400 Convention Ave
Philadelphia, PA 19104
Phone (215) 662-2300
3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669
145 King of Prussia Rd
#G101
Wayne, PA 19087
701 E Marshall St
West Chester, PA 19380
Phone (610) 431-5000
800 Spruce St
William Penn Annex West, PA 19107
Phone (215) 829-3867
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 115804 | MO | Yes |
Addresses
Primary practice location
4921 Parkview PL
LL
Saint Louis, MO 63110-1032
Mailing address
660 S Euclid Ave
C B 8224
Saint Louis, MO 63110-1010
Phone (314) 454-7236
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ENROLLED | Medicaid | IL | |
| 209812908 | Medicaid | MO |
Other providers in Saint Louis, MO
- Carole Leigh Bradley
- Cole Russell Bradley
- Crystal Bradley
- Darryl Lionel Bradley
- Harry A. Bradley
- Jennifer K Bradley
- Kristi Zerbes Bradley
- Leonard Eugene Bradley
- Lisa Charisee Bradley
- Margaret Mary Bradley
All providers in Saint Louis, MO · Radiation Oncology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.