Active NPI
Brad D Bearden, O.D.
- Optometrist
- Bellingham, WA
National Provider Identifier
1770798407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3766
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2026573 | Medicaid | WA | |
| 8755BE | Other | WA | REGENCE |
| 0175737 | Other | WA | L&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
Enrollment records 1
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
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 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 48 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3766 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whatcom Vision Clinics LLC | Optometrist | Current | 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.
-
- Optometrist
- Bellingham, WA
- NPI 1407804552
-
- Optometrist
- Camas, WA
- NPI 1124163167
-
- Optometrist
- Vancouver, WA
- NPI 1215072269
-
- Optometrist
- Sunbury, OH
- NPI 1972358539
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.