NPIMap

Individual provider Active NPI

Bradley Allen Hiser, MD

  • Neurological Surgery Physician
  • Amarillo, TX
National Provider Identifier
1750487823
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
R7022 Issued in TX
Practice address
705 Quail Creek Dr
Amarillo, TX 79124
Phone
(806) 353-6400
Fax
(806) 358-2662
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 2012008248 MO
Neurological Surgery Physician 207T00000X R7022 TX Primary

Addresses

Primary practice location

705 Quail Creek Dr
Amarillo, TX 79124

Mailing address

705 Quail Creek Dr
Amarillo, TX 79124
Phone (806) 353-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120820001038 MO Practitioner - Neurosurgery 8022265453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Nebraska College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Liberty Hospital CorporationGroup PAC ID 9931166618, 135 clinicians

Practice addresses (Care Compare)

2521 Glenn Hendren Dr
Suite 410
Liberty, MO 64068-3388
Phone (816) 415-3437

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.21 of 100Reported as group
Quality
69.99
Promoting interoperability
99
Improvement activities
40
Cost
68.22

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion102
Laminectomy or laminotomy (partial removal of spine bones)34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2012008248MOMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Liberty Hospital Corporation Current Accepting new patients
New Liberty Hospital Coporation CurrentSince May 31, 2022 Accepting new patients
New Liberty Hospital Corporation Neurological Surgery CurrentSince May 31, 2022 Accepting new patients
New Liberty Hospital Coporation Past Accepting new patients

Locations

305 S Platte Clay Way
Kearney, MO 64060
Phone (816) 628-4409

2521 Glenn Hendren Dr
Ste 410
Liberty, MO 64068
Phone (816) 415-3437

Interoperability endpoints

  • Direct secure messaging: bradley.hisermd.p6@direct.nlhc.nextgenshare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1750487823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 QUAIL CREEK DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79124",
            "telephone_number": "806-353-6400",
            "fax_number": "806-358-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 QUAIL CREEK DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79124",
            "telephone_number": "806-353-6400",
            "fax_number": "806-358-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HISER",
        "first_name": "BRADLEY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MO",
            "license": "2012008248",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "R7022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.