Individual provider Active NPI

Barrett Blake Bradley, MD

  • Obstetrics & Gynecology Physician
  • Lexington, KY
National Provider Identifier
1821088170
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
23312 Issued in KY
Practice address
1780 Nicholasville Rd
Ste 403
Lexington, KY 40503-1400
Phone
(859) 260-2580
Fax
(859) 260-2585
NPI assigned
Oct 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 23312 KY Primary

Addresses

Primary practice location

1780 Nicholasville Rd
Ste 403
Lexington, KY 40503-1400

Mailing address

PO Box 910670
Lexington, KY 40591-0670
Phone (859) 971-4685

Other identifiers 1

IdentifierTypeStateIssuer
64233125MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bbradley6095@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20050622000381 KY Practitioner - Obstetrics/Gynecology 2163467002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Indiana University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

1700 Nicholasville Rd
Lexington, KY 40503-1431

4071 Tates Creek Centre Dr
Suite 202
Lexington, KY 40517-3094
Phone (859) 260-4390

Hospital & facility affiliations

  • Baptist Health Lexington Hospital, Lexington, KY, CCN 180103

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2015 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2015 Accepting new patients
Women'S Care Center PLLC Obstetrics & Gynecology Current Accepting new patients
Baptist Healthcare System, Inc Past Accepting new patients

Locations

1700 Nicholasville Rd
Ste 702
Lexington, KY 40503
Phone (859) 260-2585

1720 Nicholasville Rd
Ste 402
Lexington, KY 40503
Phone (859) 278-0363

1780 Nicholasville Rd
Ste 403
Lexington, KY 40503
Phone (859) 260-2580

1720 Nicholasville Rd
Lexington, KY 40503
Phone (859) 277-2211

1740 Nicholasville Rd
Lexington, KY 40503
Phone (859) 260-6100

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

Organizations & group practices 4

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 1

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": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1821088170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910670",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405910670",
            "telephone_number": "859-971-4685",
            "fax_number": "859-971-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 NICHOLASVILLE RD",
            "address_2": "STE 403",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031400",
            "telephone_number": "859-260-2580",
            "fax_number": "859-260-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "BARRETT",
        "middle_name": "BLAKE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "23312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64233125",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bbradley6095@bhkydirect.com",
            "affiliation": "N",
            "address_1": "1700 Nicholasville Rd Ste 702",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405031467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.