Active NPI
Eryka L. Bradley, PA
- Medical Physician Assistant
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 005581
- Practice address
- 80 Seymour Street
Hartford Hospital ER Dept
Hartford, CT 06102-8000 - Phone
- (860) 972-0000
- NPI assigned
- Nov 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Medical Physician Assistant | 363AM0700X | 005581 | CT | Primary |
Addresses
Primary practice location
80 Seymour Street
Hartford Hospital ER Dept
Hartford, CT 06102-8000
Mailing address
80 Seymour Street
Hartford Hospital ER Dept
Hartford, CT 06102-8000
Phone (860) 972-0000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220325001997 | CT | Practitioner - Physician Assistant | 1850786955 | Reassigns benefits to 7 organizations |
| I20250821001520 | CA | Practitioner - Physician Assistant | 1850786955 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
109 S Las Posas Rd
Suite 101
San Marcos, CA 92078-2419
Phone (760) 258-4826
1855 S Centre City Pkwy
Suite 1885B
Escondido, CA 92025-6525
Phone (442) 203-4936
2484 Vista Way
2484A
Oceanside, CA 92054-6199
Phone (760) 421-5577
6971 El Camino Real
Suite 101
Carlsbad, CA 92009-4114
Phone (760) 258-4971
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.05 of 100
- Quality
- 83.45
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.72
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.78 of 100
- Quality
- 85.61
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 46.45
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carbon Health Medical Group of California PC | Current | Accepting new patients | |
| Hartford Hospital | Current | Accepting new patients | |
| Hartford Healthcare Medical Group Specialists LLC | Current | Accepting new patients | |
| Hartford Healthcare Medical Group Specialists, PLLC | Current | Accepting new patients | |
| St. Vincents Urgent Care LLC | Current | Accepting new patients | |
| Hartford Hospital | Current | Accepting new patients |
Locations
6971 El Camino Real
Ste 101
Carlsbad, CA 92009
Phone (760) 258-4971
3955 Bedford Canyon Rd
Unit 103
Corona, CA 92883
Phone (951) 293-4722
2944 Tapo Canyon Rd
Ste A
Simi Valley, CA 93063
Phone (805) 306-5990
385 W Main St
Avon, CT 06001
Phone (860) 777-1280
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
7365 Main St
Ste 7
Stratford, CT 06614
Phone (203) 696-3505
Interoperability endpoints
- eryka.bradley@xdr.hhchealthdirect.org
Organizations & group practices 12
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.
-
- Urgent Care Clinic/Center
- Berkeley, CA
- NPI 1417294232
CA
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
CT
-
- Emergency Medicine Physician
- Stamford, CT
- NPI 1689614109
CT
-
- Emergency Medicine Physician
- Meriden, CT
- NPI 1083910962
CT
-
- Customized Equipment (DME)
- Groton, CT
- NPI 1295367068
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1902834880
-
- Internal Medicine Physician
- Trumbull, CT
- NPI 1043852569
-
- Urgent Care Clinic/Center
- Pasadena, CA
- NPI 1255957205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647820800000",
"number": "1730845801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 SEYMOUR STREET",
"address_2": "HARTFORD HOSPITAL ER DEPT",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061028000",
"telephone_number": "860-972-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 SEYMOUR STREET",
"address_2": "HARTFORD HOSPITAL ER DEPT",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061028000",
"telephone_number": "860-972-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "ERYKA",
"middle_name": "L.",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-12",
"last_updated": "2022-03-21",
"certification_date": "2022-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CT",
"license": "005581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.