Douglas Damien Bradley, M.D.

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

MANJ049904 Issued in NJ

Practice address

700 Rahway Ave
Union, NJ 07083-6634

Phone

(908) 688-1999

Fax

(908) 688-8180

NPI assigned

Jul 28, 2005

Last updated

Aug 1, 2016By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Enrolled in NJ

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: douglas.bradley@direct.christhospital.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hudson Hospital Opco LLC

  dba Christ Hospital

  • General Acute Care Hospital
  • Jersey City, NJ
  • NPI 1871859306
  NPD

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470009600000",
    "number": "1740280148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 RAHWAY AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070836634",
            "telephone_number": "908-688-1999",
            "fax_number": "908-688-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 RAHWAY AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070836634",
            "telephone_number": "908-688-1999",
            "fax_number": "908-688-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "DOUGLAS",
        "middle_name": "DAMIEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2016-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NJ",
            "license": "MANJ049904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "223537990",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0459801",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Lynn Bowen, OTR/L
• Marla Bowie, PHARMD, MPH
• Douglas C Boxer, MD
• Sharon F. Boyd-Jackson, PH.D.
• Sage Angel Bradby
• Rafael Braga, DPT
• Helena I Branco
• Branjrew Medical Transportation LLC
• Julie Braunscheidel, MD
• Braveminds Mental Health Services

• Orthopaedic Surgery of the Spine Physician in Union, NJ
• Providers in Union, NJ by specialty
• Orthopaedic Surgery of the Spine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.