Bradley Alan Paulson, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

3654 Issued in SD

Practice address

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

Phone

(605) 322-4878

Fax

(605) 322-4820

NPI assigned

Apr 3, 2006

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 SD, MN2 enrollments

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 2

Specialty

Diagnostic Radiology

Education

Sanford School of Medicine of University of South Dakota, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Avera MarshallGroup PAC ID 5799695227, 102 clinicians

Urology Specialists CharteredGroup PAC ID 9234031329, 47 clinicians

Madison Community HospitalGroup PAC ID 3779579743, 46 clinicians

Avera Queen of PeaceGroup PAC ID 9335050806, 122 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Avera McKennan Hospital & University Health Center Hospital, Sioux Falls, SD, CCN 430016
• Avera Heart Hospital of South Dakota Hospital, Sioux Falls, SD, CCN 430095
• Avera Marshall Regional Medical Ctr Hospital, Marshall, MN, CCN 241359
• Regional Health Services of Howard County Hospital, Cresco, IA, CCN 161328
• Brookings Health System Hospital, Brookings, SD, CCN 430008

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: brad.opaulson.p1@direct.urologyspecialists.nextgenshare.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.

• Avera Queen of Peace

  • Hospitalist Physician
  • Mitchell, SD
  • NPI 1205359031

  SD

  Medicare reassignment Care Compare group NPD
• Madison Community Hospital

  • Critical Access Hospital
  • Madison, SD
  • NPI 1588644058

  SD

  Medicare reassignment Care Compare group NPD
• Urology Specialists Chartered

  • Urology Physician
  • Sioux Falls, SD
  • NPI 1881647246

  SD

  Medicare reassignment Care Compare group NPD
• Avera Marshall

  • Critical Access Hospital
  • Marshall, MN
  • NPI 1568401016

  MN

  Medicare reassignment Care Compare group NPD
• Avera Marshall

  • Multi-Specialty Clinic/Center
  • Marshall, MN
  • NPI 1962641936

  SD

  Medicare reassignment Care Compare group NPD
• Avera McKennan

  • Orthopaedic Surgery Physician
  • Sioux Falls, SD
  • NPI 1093262131

  MN

  Medicare reassignment NPD
• Avera McKennan

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sioux Falls, SD
  • NPI 1699009944

  SD

  Medicare reassignment NPD
• Freeman Regional Health Services

  • Rural Health Clinic/Center
  • Marion, SD
  • NPI 1740570076

  SD

  Medicare reassignment NPD
• Avera Granite Falls

  • Critical Access Hospital
  • Granite Falls, MN
  • NPI 1700429610

  MN

  Medicare reassignment NPD
• Avera Queen of Peace

  • Critical Access Hospital
  • Wessington Springs, SD
  • NPI 1316942204
  Care Compare group NPD
• Avera Granite Falls

  • Family Medicine Physician
  • Granite Falls, MN
  • NPI 1700429644

  MN

  Medicare reassignment
• Avera Queen of Peace

  • Diagnostic Radiology Physician
  • Mitchell, SD
  • NPI 1053827634
  Care Compare group

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

• Avera McKennan

  • Obstetrics & Gynecology Physician
  • Sioux Falls, SD
  • NPI 1003188269

  Hospital

  Care Compare affiliation
• Avera McKennan

  • Rheumatology Physician
  • Sioux Falls, SD
  • NPI 1013177393

  Hospital

  Care Compare affiliation
• Avera McKennan

  • Psychiatry Physician
  • Sioux Falls, SD
  • NPI 1013980598

  Hospital

  Care Compare affiliation
• Avera McKennan

  • Orthopaedic Surgery Physician
  • Sioux Falls, SD
  • NPI 1093262131

  Hospital

  Care Compare affiliation
• Avera McKennan

  • Neurological Surgery Physician
  • Sioux Falls, SD
  • NPI 1114113693

  Hospital

  Care Compare affiliation
• Avera McKennan

  • Physical Medicine & Rehabilitation Physician
  • Sioux Falls, SD
  • NPI 1134195332

  Hospital

  Care Compare affiliation
• Avera McKennan

  • General Acute Care Hospital
  • Sioux Falls, SD
  • NPI 1154531630

  Hospital

  Care Compare affiliation
• Avera McKennan

  • General Acute Care Hospital
  • Sioux Falls, SD
  • NPI 1184834764

  Hospital

  Care Compare affiliation
• Avera McKennan

  • Gastroenterology Physician
  • Sioux Falls, SD
  • NPI 1194799882

  Hospital

  Care Compare affiliation
• Avera McKennan

  • Obstetrics & Gynecology Physician
  • Sioux Falls, SD
  • NPI 1336111962

  Hospital

  Care Compare affiliation
• Avera McKennan

  • Family Medicine Physician
  • Sioux Falls, SD
  • NPI 1376575514

  Hospital

  Care Compare affiliation
• Avera McKennan

  • Endocrinology, Diabetes & Metabolism Physician
  • Sioux Falls, SD
  • NPI 1396711016

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1750343232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86370",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571186370",
            "telephone_number": "605-322-7510",
            "fax_number": "605-322-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S CLIFF AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051007",
            "telephone_number": "605-322-4878",
            "fax_number": "605-322-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULSON",
        "first_name": "BRADLEY",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SD",
            "license": "3654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7202900",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7202905",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Sioux Falls, SD
• Diagnostic Radiology Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.