Bradley W. Church, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000722 Issued in VA

Practice address

15189 Montanus Dr
Culpeper, VA 22701-1679

Phone

(540) 825-8220

Fax

(866) 691-2912

NPI assigned

Dec 29, 2005

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Alabama School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aeg Virginia Professional PLLCGroup PAC ID 1456898782, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

18.57 of 100Reported as individual

Quality

37.15

Improvement activities

0

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/mi-riv

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.

• Aeg Virginia Professional PLLC

  • Optometrist
  • Fredericksburg, VA
  • NPI 1518746908
  Medicare reassignment Care Compare group NPD
• Premier Eyecare, Angela Tsai, O.D. and Associates, P.C.

  • Optometrist
  • Fredericksburg, VA
  • NPI 1134137086
  Medicare reassignment NPD
• Access Eye Centers, Inc.

  • Ophthalmology Physician
  • Stafford, VA
  • NPI 1811215726

  Optometrist

  NPD (past)
• Retina Institute of Virginia PLLC

  • Ophthalmology Physician
  • Richmond, VA
  • NPI 1306808167
  NPD (past)

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297468800000",
    "number": "1790762821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15189 MONTANUS DR",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227011679",
            "telephone_number": "540-825-8220",
            "fax_number": "866-691-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15189 MONTANUS DR",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227011679",
            "telephone_number": "540-825-8220",
            "fax_number": "866-691-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCH",
        "first_name": "BRADLEY",
        "middle_name": "W.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2011-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "410036701",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morton P Chiles, M.D.
• Catherine Bertorelli Christian
• Christina P Mills DDS LLC
• Chrysalis Counseling Centers
• Connie M Chung, MD
• Kelley Cianci
• Clancey Counseling, LLC
• Jamie Meredith Clancey, LCSW
• Ashley Ann Clark, MS, NCC, DCC
• Jacqueline Clark, RN

• Optometrist in Culpeper, VA
• Providers in Culpeper, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2011; 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.