Bradley M Tipler, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Fishersville, VA
NPI 1790775989 · NPPES record last updated Jan 31, 2023
Key facts
- NPI
- 1790775989
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 417467121 (VA)
- Practice address
- 78 Medical Center Dr
Fishersville, VA 22939-2332 - Phone
- (540) 332-4400
- Fax
- (540) 332-4490
- NPI assigned
- Oct 27, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- University of Alabama School of Medicine, 1978
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Augusta Health Care Inc
Augusta Medical Group
Practice addresses (Care Compare)
23 N Campus Dr
Suite 101
Fishersville, VA 22939-2469
Phone (540) 332-4400
78 Medical Ctr Dr
Fishersville, VA 22939-2332
Phone (540) 932-4075
Hospital & facility affiliations
- Augusta Health
- University of Virginia Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160329000130 | VA | Practitioner - Diagnostic Radiology | 6901103480 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 417467121 | VA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Augusta Medical Group | Current |
Accepting new patients | |
| Short Pump Imaging LLC | Current |
Accepting new patients | |
| Augusta Health Care, Inc. | Diagnostic Radiology | Current |
Accepting new patients |
| Chesterfield Imaging LLC | Current |
Accepting new patients | |
| Bath County Community Hospital | Current |
Accepting new patients | |
| Augusta Medical Group | Current |
Accepting new patients | |
| Augusta Health Care, Inc | Current |
Accepting new patients | |
| Blue Ridge Radiologists Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Wahoo Radiology, PLLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
78 Medical Center Dr
Fishersville, VA 22939
Phone (540) 245-7216
23 North Campus Dr
Ste 101
Fishersville, VA 22939
Phone (540) 332-4400
78 Medical Center Dr
Fl 1
Fishersville, VA 22939
53 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 332-5687
Interoperability endpoints
- https://api.platform.athenahealth.com/14718/brand/4/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 417467121 | VA | Yes |
Addresses
Primary practice location
78 Medical Center Dr
Fishersville, VA 22939-2332
Mailing address
PO Box 388
Fishersville, VA 22939-0388
Phone (540) 332-4400
Other practice location 1
2602 Buford Rd
North Chesterfield, VA 23235-3422
Phone (804) 272-8806 ext. 321
Other providers in Fishersville, VA
- William G. Thompson
- James Stuart Tiedeman
- Shannon N Tierney
- Malinda Tiffany
- Corah L Tillerson
- Lisa M Tomala
- Emily J Tracey
- Sara E. Tranum
- Sidenia Surratt Tribble
- Sally I Tucker
All providers in Fishersville, VA · Diagnostic Radiology Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.