Patrick D Bradley, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

0101255677 Issued in VA

Practice address

3800 Electric Rd Ste 101
Roanoke, VA 24018-4549

Phone

(540) 299-8512

Fax

(540) 299-8538

NPI assigned

Mar 29, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Ophthalmology

Education

East Tennessee State University Quillen College of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Magnolia Eye Center PC

  • Ophthalmology Physician
  • Roanoke, VA
  • NPI 1578277810
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1780909291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 ELECTRIC RD STE 101",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184549",
            "telephone_number": "402-998-5125",
            "fax_number": "540-299-8538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 ELECTRIC RD STE 101",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184549",
            "telephone_number": "540-299-8512",
            "fax_number": "540-299-8538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "PATRICK",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-29",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101255677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780909291",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Swatzyna Bradford
• Bradley Free Clinic of Roanoke Valley
• Emilie Adele Bradley
• Jeannene Evelyn Bradley, DDS
• Jessica Bradley
• Vakisha Bradley
• Don I Brady, MD
• Ida Braford
• Brain Injury Resource & Development Center, Inc.
• Brain Injury Services of Swva

• Ophthalmology Physician in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Ophthalmology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.