Individual provider Active NPI

Brad D Bearden, O.D.

  • Optometrist
  • Bellingham, WA
National Provider Identifier
1770798407
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3766 Issued in WA
Practice address
2222 James St
Suite, a
Bellingham, WA 98225-4152
Phone
(360) 676-4030
Fax
(360) 676-4030
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3766 WA Primary

Addresses

Primary practice location

2222 James St
Suite, a
Bellingham, WA 98225-4152

Mailing address

4026 Springland LN
Bellingham, WA 98226
Phone (360) 738-8304

Other identifiers 3

IdentifierTypeStateIssuer
2026573MedicaidWA
8755BEOtherWAREGENCE
0175737OtherWAL&I

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101208000593 WA Practitioner - Optometry 6507818705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Whatcom Vision Clinics LLCGroup PAC ID 7618866732, 4 clinicians

Practice addresses (Care Compare)

2222 James St a
Bellingham, WA 98225-4152
Phone (360) 676-4030

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3766WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Whatcom Vision Clinics LLC Optometrist CurrentSince Oct 15, 2003 Accepting new patients
Vancouver Contact Lens & Vision Clinic Inc Optometrist Past Accepting new patients
Vancouver Contact Lens & Vision Clinic Inc Optometrist Past Accepting new patients
Vision Professionals Optometrist Past Accepting new patients

Locations

2222 James St
Ste A
Bellingham, WA 98225
Phone (360) 676-4030

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770798407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4026 SPRINGLAND LN",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98226",
            "telephone_number": "360-738-8304",
            "fax_number": "360-676-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 JAMES ST",
            "address_2": "SUITE, A",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254152",
            "telephone_number": "360-676-4030",
            "fax_number": "360-676-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARDEN",
        "first_name": "BRAD",
        "middle_name": "D",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2026573",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "8755BE",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0175737",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.