Active NPI
Richard L Bradbury, DPM
- Podiatrist
- Salina, KS
National Provider Identifier
1700879277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 12-00240
- Practice address
- 1529 E Iron Ave
Salina, KS 67401-3235 - Phone
- (785) 825-2900
- Fax
- (785) 825-2839
- NPI assigned
- Aug 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 12-00240 | KS | Primary |
Addresses
Primary practice location
1529 E Iron Ave
Salina, KS 67401-3235
Mailing address
1529 E Iron Ave
Salina, KS 67401-3235
Phone (785) 825-2900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100227100B | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12-00240 | KS | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209513600000",
"number": "1700879277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1529 E IRON AVE",
"city": "SALINA",
"state": "KS",
"postal_code": "674013235",
"telephone_number": "785-825-2900",
"fax_number": "785-825-2839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1529 E IRON AVE",
"city": "SALINA",
"state": "KS",
"postal_code": "674013235",
"telephone_number": "785-825-2900",
"fax_number": "785-825-2839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADBURY",
"first_name": "RICHARD",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2008-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "KS",
"license": "12-00240",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100227100B",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salina, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.