Individual provider Active NPI

A. James Bradley, M.D.

  • Specialist
  • Stuart, FL
National Provider Identifier
1780645150
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME61829 Issued in FL
Practice address
1001 SE Monterey Commons Blvd
Suite 300
Stuart, FL 34996-3329
Phone
(772) 286-9400
Fax
(772) 283-3832
NPI assigned
Mar 28, 2006
Last updated
Jan 7, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME61829 FL Primary

Addresses

Primary practice location

1001 SE Monterey Commons Blvd
Suite 300
Stuart, FL 34996-3329

Mailing address

1001 SE Monterey Commons Blvd
Suite 300
Stuart, FL 34996-3329
Phone (772) 286-9400

Other identifiers 1

IdentifierTypeStateIssuer
370597800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050909000126 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6103858303 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME61829FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Memorial Medical Center Inc CurrentSince Mar 30, 1998 Accepting new patients
Martin Memorial Medical Center Inc Specialist CurrentSince Mar 30, 1998 Accepting new patients
Stuart Cardiology Group LLC Specialist CurrentSince Jan 2, 1997 Accepting new patients

Locations

3066 SW Martin Downs Blvd
Unit 6
Palm City, FL 34990
Phone (772) 781-2781

1095 NW Saint Lucie West Blvd
Port St Lucie, FL 34986
Phone (772) 785-5500

1001 SE Monterey Commons Blvd
Ste 300
Stuart, FL 34996
Phone (561) 286-9400

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

314 SE Hospital Ave
Stuart, FL 34994
Phone (772) 221-2006

509 SE Riverside Dr
Stuart, FL 34994
Phone (772) 223-2300

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294358400000",
    "number": "1780645150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SE MONTEREY COMMONS BLVD",
            "address_2": "SUITE 300",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963329",
            "telephone_number": "772-286-9400",
            "fax_number": "772-283-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SE MONTEREY COMMONS BLVD",
            "address_2": "SUITE 300",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963329",
            "telephone_number": "772-286-9400",
            "fax_number": "772-283-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "A.",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2011-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME61829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370597800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.