Individual provider Active NPI

Bradley B. Hill, MD

  • Vascular Surgery Physician
  • Campbell, CA
National Provider Identifier
1790864437
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A61409 Issued in CA
Practice address
3803 S Bascom Ave Ste 204
Campbell, CA 95008-7317
Phone
(408) 770-4455
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X A61409 CA Primary

Addresses

Primary practice location

3803 S Bascom Ave Ste 204
Campbell, CA 95008-7317

Mailing address

2946 Forbes Ave
Santa Clara, CA 95051-6114
Phone (408) 564-5675

Other practice location 1

2255 S Bascom Ave Ste 200
Campbell, CA 95008-7800
Phone (408) 376-3626

Other practice location 2

8420 Church St
Gilroy, CA 95020-4229
Phone (408) 376-3626

Other practice location 3

710 Lawrence Expy
Santa Clara, CA 95051-5173
Phone (408) 851-1000

Other identifiers 1

IdentifierTypeStateIssuer
00A614090MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drhill@hillvascular.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20110125000655 CA Practitioner - Vascular SurgeryPractitioner - General Surgery 7810176740 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Baylor College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3803 S Bascom Ave
Suite 204
Campbell, CA 95008-7317
Phone (708) 979-9082

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
99.86
Improvement activities
40
Cost
85.74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal21
Leg revascularization (restoring blood flow)30
Removal of tissue93

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group Inc CurrentSince Oct 19, 2010 Accepting new patients
Bradley B. Hill, MD a Professional Corporation Vascular Surgery CurrentSince Dec 10, 2019 Accepting new patients
Permanente Medical Group, Inc CurrentSince Oct 19, 2010 Accepting new patients
Good Samaritan Hospital Ca LTD PTP Past Accepting new patients
O'Connor Hospital Past Accepting new patients
El Camino Health Medical Network, LLC Past Accepting new patients
El Camino Hospital Past Accepting new patients
County of Santa Clara Past Accepting new patients
Polyxene Gazetas Kokinos MD PC Vascular Surgery PastSince Aug 1, 2021 Accepting new patients
County of Santa Clara Past Accepting new patients

Locations

3803 S Bascom Ave
Ste 204
Campbell, CA 95008
Phone (408) 559-8658

3803 S Bascom Ave
Campbell, CA 95008
Phone (408) 369-9535

9400 No Name Uno
Gilroy, CA 95020
Phone (408) 848-2000

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

125 Ciro Ave
Ste 201
San Jose, CA 95128
Phone (408) 947-2500

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

1595 Soquel Dr
Ste 150
Santa Cruz, CA 95065
Phone (408) 770-4455

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

1 Quality Dr
Vacaville, CA 95688
Phone (707) 453-5000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1790864437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2946 FORBES AVE",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950516114",
            "telephone_number": "408-564-5675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803 S BASCOM AVE STE 204",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950087317",
            "telephone_number": "408-770-4455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2255 S Bascom Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Campbell",
            "state": "CA",
            "postal_code": "950087800",
            "country_code": "US",
            "telephone_number": "408-376-3626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8420 Church St",
            "address_purpose": "LOCATION",
            "city": "Gilroy",
            "state": "CA",
            "postal_code": "950204229",
            "country_code": "US",
            "telephone_number": "408-376-3626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "710 Lawrence Expy",
            "address_purpose": "LOCATION",
            "city": "Santa Clara",
            "state": "CA",
            "postal_code": "950515173",
            "country_code": "US",
            "telephone_number": "408-851-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILL",
        "first_name": "BRADLEY",
        "middle_name": "B.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A61409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A614090",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drhill@hillvascular.com",
            "affiliation": "N",
            "endpointDescription": "Dr. Hill's Direct Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3803 S Bascom Ave Ste 204",
            "city": "Campbell",
            "state": "CA",
            "country_code": "US",
            "postal_code": "950087317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

Verify at the official NPI Registry.