Individual provider Active NPI

Bradley G Hodge, MD

  • Family Medicine Physician
  • Sherman, TX
National Provider Identifier
1750470704
Registry record updated Mar 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J1529 Issued in TX
Practice address
1906 W US Highway 82
Sherman, TX 75092-6893
Phone
(903) 892-8398
Fax
(903) 892-6665
NPI assigned
Oct 11, 2006
Last updated
Mar 18, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J1529 TX Primary

Addresses

Primary practice location

1906 W US Highway 82
Sherman, TX 75092-6893

Mailing address

1906 W US Highway 82
Sherman, TX 75092-6893
Phone (903) 892-8398

Other identifiers 1

IdentifierTypeStateIssuer
K67VOtherTXMEDICARE/BLUESHIELD GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20100726000182 TX Practitioner - Family Practice 7911967781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Family Medicine PAGroup PAC ID 2264418557, 13 clinicians

Practice addresses (Care Compare)

1906 W US Hwy 82
Sherman, TX 75092-6893
Phone (903) 892-8398

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J1529TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sherman Grayson Hospital LLC Current Accepting new patients
Center for Family Medicine,PA Family Medicine CurrentSince Nov 24, 1992 Accepting new patients
Sherman Apothecary, LP PastSince Nov 24, 1992 Accepting new patients

Locations

1906 W US Highway 82
Sherman, TX 75092
Phone (903) 892-8398

Interoperability endpoints

  • Direct secure messaging: bradleyhodge@wnjrmc.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363564800000",
    "number": "1750470704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 W US HIGHWAY 82",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750926893",
            "telephone_number": "903-892-8398",
            "fax_number": "903-892-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 W US HIGHWAY 82",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750926893",
            "telephone_number": "903-892-8398",
            "fax_number": "903-892-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGE",
        "first_name": "BRADLEY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2013-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J1529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE/BLUESHIELD GROUP",
            "identifier": "K67V",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

Verify at the official NPI Registry.