Charles Raymond Bradford III, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

00007481 Issued in AL

Practice address

508 Harley St
Suite D
Scottsboro, AL 35768-4294

Phone

(256) 259-6054

Fax

(256) 259-5206

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Family Practice

Education

University of Alabama School of Medicine, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bradford Family Healthcare PCGroup PAC ID 6901034586, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Muscle Shoals, AL, CCN 017326
• Amedisys Home Health of Fort Payne Home health agency, Rainesville, AL, CCN 017158

Merit-based Incentive Payment System (MIPS)

Final score

82.57 of 100Reported as individual

Quality

66.08

Promoting interoperability

100

Improvement activities

40

Cost

75.81

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Networks

• bcbs alabama network 01G0
• bcbs alabama network 01H0
• bcbs alabama network 01E0
• bcbs alabama network 01C0
• bcbs alabama network 01B0

Interoperability endpoints

• Direct secure messaging: charles.bradford.2@7879.direct.athenahealth.com

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.

• Bradford Family Healthcare PC

  • Health Service Clinic/Center
  • Scottsboro, AL
  • NPI 1407284532
  Medicare reassignment Care Compare group

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

• Amedisys Home Health of Alabama, LLC

  • Home Health Agency
  • Rainsville, AL
  • NPI 1861413890
  Care Compare affiliation
• Eh Health Home Health of Alabama, LLC

  • Home Health Agency
  • Decatur, AL
  • NPI 1538620984
  Care Compare affiliation

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700805082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 PINE POINT RD",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357696555",
            "telephone_number": "256-259-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 HARLEY ST",
            "address_2": "SUITE D",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357684294",
            "telephone_number": "256-259-6054",
            "fax_number": "256-259-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "CHARLES",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00007481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah L Boxley, M.D.
• Ryan Wayne Brack, O.D.
• Bradford Family Healthcare PC
• Barrett Bradford, D.M.D
• Charles Raymond Bradford IV, M.D.
• Rose Marie Bright, MSW, LICSW, PIP
• Kristen Buchanan, PT, DPT
• Clyde Wilson Butler, MS, CCC-SLP
• Marla Byrum, NP
• C & C Drugs, Inc

• Family Medicine Physician in Scottsboro, AL
• Providers in Scottsboro, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.