Larry Allan Bradley, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MED-PAC-LIC-59882 Issued in MT

Practice address

2800 10TH Ave N
Billings, MT 59101-0703

Phone

(406) 238-2500

NPI assigned

Oct 11, 2017

Sex

Male

Sole proprietor

No

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.

• Billings Clinic

  • Emergency Care Clinic/Center
  • Billings, MT
  • NPI 1326104845
  Medicare reassignment Care Compare group MT
• Billings Clinic

  • General Practice Physician
  • Billings, MT
  • NPI 1376598714
  Care Compare group NPD
• Billings Clinic

  • Community/Retail Pharmacy
  • Billings, MT
  • NPI 1013958446
  Care Compare group
• Billings Clinic

  • General Acute Care Hospital
  • Billings, MT
  • NPI 1265478291
  Care Compare group
• Billings Clinic

  • Durable Medical Equipment & Medical Supplies
  • Billings, MT
  • NPI 1962566562
  Care Compare group
• Billings Clinic

  • Hematology & Oncology Physician
  • Williston, ND
  • NPI 1245397041
  Care Compare group
• Billings Clinic

  • Family Medicine Physician
  • Cody, WY
  • NPI 1346288347
  Care Compare group
• Billings Clinic

  • Physical Therapist
  • Billings, MT
  • NPI 1740630268
  NPD

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

• Billings Cinic

  • General Acute Care Hospital
  • Bozeman, MT
  • NPI 1215660840
  Care Compare affiliation Hospital
• Billings Clinic

  • Orthopaedic Surgery Physician
  • Billings, MT
  • NPI 1003953589
  Care Compare affiliation Hospital
• Billings Clinic

  • Family Medicine Physician
  • Billings, MT
  • NPI 1033164447
  Care Compare affiliation Hospital
• Billings Clinic

  • Endocrinology, Diabetes & Metabolism Physician
  • Billings, MT
  • NPI 1124310537
  Care Compare affiliation Hospital
• Billings Clinic

  • General Acute Care Hospital
  • Billings, MT
  • NPI 1265478291
  Care Compare affiliation Hospital
• Billings Clinic

  • Internal Medicine Physician
  • Bozeman, MT
  • NPI 1265648455
  Care Compare affiliation Hospital
• Billings Clinic

  • General Practice Physician
  • Billings, MT
  • NPI 1376598714
  Care Compare affiliation Hospital
• Billings Clinic

  • Internal Medicine Physician
  • Billings, MT
  • NPI 1871548289
  Care Compare affiliation Hospital

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Billings Clinic 814 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Billings Clinic Hospital Hospital, Billings, MT, CCN 270004

Medicare fee-for-service enrollment

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lbradley1@billingsclinic.cernerdirect.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 14, 2021.

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1780194175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 RIDGE RD",
            "city": "ROUNDUP",
            "state": "MT",
            "postal_code": "590726851",
            "telephone_number": "406-690-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 10TH AVE N",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591010703",
            "telephone_number": "406-238-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "LARRY",
        "middle_name": "ALLAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-11",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "MED-PAC-LIC-59882",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MT",
            "license": "MED-PAC-LIC-59882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Lousie Boysun, P.T.
• Bozeman Medical Imaging, LLC
• BP Healthcare, LLC
• Braden Anesthesia Services PC
• Jean Louise Braden, NURSE PRACTITIONER
• Lora Bradley, LMT
• Michael John Bradshaw, M.D.
• Brenda Claire Brady, ATC/LAT
• Rebekah Lee Brady
• Elizabeth Brakebush

• All providers in Billings, MT
• Medical Physician Assistant in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.