Active NPI
Bradley Dale Reeder, ACNP
- Acute Care Nurse Practitioner
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 18226
- Practice address
- 890 W Faris Rd Ste 580
Greenville, SC 29605-4281 - Phone
- (864) 455-7874
- Fax
- (864) 455-8933
- NPI assigned
- Apr 3, 2013
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 18226 | SC | Primary |
Addresses
Primary practice location
890 W Faris Rd Ste 580
Greenville, SC 29605-4281
Mailing address
1 Independence PT
Suite 212
Greenville, SC 29615-4545
Phone (864) 797-6306
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP2374 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Vanderbilt University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Fleetwood Dr
Easley, SC 29640-2022
Phone (864) 442-7618
210 Freeman Farm Rd
Duncan, SC 29334-9398
Phone (864) 968-5123
701 Grove Rd
Greenville, SC 29605-4210
Hospital & facility affiliations
- Prisma Health Greenville Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18226 | SC | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health-Upstate | Current | Accepting new patients | |
| Prisma Health-Upstate | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health-Upstate | Current | Accepting new patients |
Locations
2400 Boiling Springs Rd
Ste A
Boiling Springs, SC 29316
Phone (864) 599-0731
22725 US Highway 76
Clinton, SC 29325
Phone (864) 833-9100
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
200 Fleetwood Dr
Easley, SC 29640
Phone (864) 442-7200
1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306
11402 Anderson Rd
Ste A
Greenville, SC 29611
Phone (864) 631-2799
2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761
1025 Verdae Blvd
Ste B
Greenville, SC 29607
Phone (864) 240-8101
100 Augusta St
Greenville, SC 29601
Phone (864) 455-2600
890 W Faris Rd
Ste 580
Greenville, SC 29605
Phone (864) 455-7874
701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030
315 Medical Pkwy
Ste 200
Greer, SC 29650
Phone (864) 797-9550
830 S Buncombe Rd
Greer, SC 29650
Phone (864) 797-8000
298 Memorial Dr
Seneca, SC 29672
Phone (864) 482-3100
729 SE Main St
Simpsonville, SC 29681
Phone (864) 271-8647
300 Scuffletown Rd
Simpsonville, SC 29681
Phone (864) 329-0029
719A SE Main St
Simpsonville, SC 29681
Phone (864) 967-9000
807 N Main St
Travelers Rst, SC 29690
Phone (864) 834-5132
Interoperability endpoints
- breeder33625@direct.ghs.myhfn.org
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1649726738
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1558305995
-
- Gynecology Physician
- Greer, SC
- NPI 1003619313
-
- General Acute Care Hospital
- Clinton, SC
- NPI 1245786367
-
- Medically Fragile Infants and Children Day Care
- Greenville, SC
- NPI 1811439649
Hospital & facility affiliations 39
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Medically Fragile Infants and Children Day Care
- Greenville, SC
- NPI 1093168064
Hospital
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1114473212
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1174079271
-
- Sleep Disorder Diagnostic Clinic/Center
- Greenville, SC
- NPI 1275086431
Hospital
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1326884982
-
- Developmental Disabilities Clinic/Center
- Greenville, SC
- NPI 1336695436
Hospital
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1366998460
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1396207221
-
- Developmental Disabilities Clinic/Center
- Greenville, SC
- NPI 1396291407
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667779200000",
"number": "1780927186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 INDEPENDENCE PT",
"address_2": "SUITE 212",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154545",
"telephone_number": "864-797-6306",
"fax_number": "864-797-6198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "890 W FARIS RD STE 580",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054281",
"telephone_number": "864-455-7874",
"fax_number": "864-455-8933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEDER",
"first_name": "BRADLEY",
"middle_name": "DALE",
"credential": "ACNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-03",
"last_updated": "2022-11-07",
"certification_date": "2022-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "SC",
"license": "18226",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP2374",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.