Individual provider Active NPI

Bradley Whitaker, DPM., FACFAS

  • Foot & Ankle Surgery Podiatrist
  • Tucson, AZ
National Provider Identifier
1821089624
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0446 Issued in AZ
Practice address
2163 W Orange Grove Rd
Tucson, AZ 85741-3118
Phone
(520) 575-0800
Fax
(520) 575-0093
NPI assigned
Oct 31, 2005
Last updated
Dec 10, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0446 AZ Primary

Addresses

Primary practice location

2163 W Orange Grove Rd
Tucson, AZ 85741-3118

Mailing address

2163 W Orange Grove Rd
Tucson, AZ 85741-3118
Phone (520) 575-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20101005001306 AZ Practitioner - Podiatry 3870617574 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Community Surgeons, PCGroup PAC ID 0446274997, 14 clinicians
Sunbelt Medical Group LLCGroup PAC ID 4082983465, 20 clinicians

Practice addresses (Care Compare)

2163 W Orange Grove Rd
Tucson, AZ 85741-3118
Phone (520) 575-0800

4539 E Fort Lowell Rd
Tucson, AZ 85712-1108
Phone (520) 750-7255

6130 N la Cholla Blvd
Suite 111
Tucson, AZ 85741-3589
Phone (626) 622-7810

6264 E Grant Rd
Tucson, AZ 85712-5882
Phone (520) 884-0001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
54.73 of 100Reported as group
Quality
55.28
Promoting interoperability
0
Improvement activities
40
Cost
77.16

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue70
Removal of skin lesions1-10
Removal of nail tissue817
Removal or shaving of skin growth554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0446AZMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunbelt Medical Group LLC CurrentSince Jul 21, 2025 Accepting new patients
Sunbelt Medical Group LLC Foot & Ankle Surgery CurrentSince Jul 21, 2025 Accepting new patients
Arizona Community Surgeons PC Podiatrist CurrentSince Jan 1, 2020 Accepting new patients
Valley ENT, PC Past Accepting new patients

Locations

1055 N La Canada Dr
Ste 131
Green Valley, AZ 85614
Phone (520) 589-2039

12460 N Rancho Vistoso Blvd
Oro Valley, AZ 85755
Phone (520) 575-0800

12460 N Rancho Vistoso Blvd
Ste 110
Oro Valley, AZ 85755
Phone (520) 750-7160

2163 W Orange Grove Rd
Tucson, AZ 85741
Phone (520) 575-0800

2850 N Country Club Rd
Tucson, AZ 85716
Phone 52032262747104

4539 E Fort Lowell Rd
Tucson, AZ 85712
Phone (520) 750-7255

6130 N La Cholla Blvd
Ste 11
Tucson, AZ 85741

6130 N La Cholla Blvd
Ste 111
Tucson, AZ 85741
Phone (520) 469-8168

6264 E Grant Rd
Tucson, AZ 85712
Phone (520) 884-0001

6320 N La Cholla Blvd
Ste 380
Tucson, AZ 85741
Phone (520) 219-8690

6506 E Carondelet Dr
Bldg A
Tucson, AZ 85710
Phone (520) 885-6717

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1821089624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2163 W ORANGE GROVE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413118",
            "telephone_number": "520-575-0800",
            "fax_number": "520-575-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2163 W ORANGE GROVE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413118",
            "telephone_number": "520-575-0800",
            "fax_number": "520-575-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "DPM., FACFAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.