Individual provider Active NPI

Bradley Hughes, M.D.

  • Family Medicine Physician
  • Surprise, AZ
National Provider Identifier
1821318262
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
46945 Issued in AZ
Practice address
14780 W Mountain View Blvd
Suite 110
Surprise, AZ 85374-7280
Phone
(623) 374-7774
NPI assigned
Jun 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 46945 AZ Primary

Addresses

Primary practice location

14780 W Mountain View Blvd
Suite 110
Surprise, AZ 85374-7280

Mailing address

1750 E Bell Road
Apt 166
Phoenix, AZ 85022
Phone (602) 839-3339

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150113000383 AZ Practitioner - Family Practice 7618291014 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Louisville School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Active Vital Care LLCGroup PAC ID 3870942428, 19 clinicians

Practice addresses (Care Compare)

1928 E Highland Ave
Suite F104
Phoenix, AZ 85016-4626
Phone (833) 242-0100

Hospital & facility affiliations

  • Sunrise Health Services Home health agency, Mesa, AZ, CCN 037226

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Agave Adult Medical Care LLC Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
Careathome Medical Practice Ca PC CurrentSince Sep 1, 2023 Accepting new patients
Angels Valley Community Healthcare Center PLLC CurrentSince Aug 17, 2022 Accepting new patients
Active Vital Care LLC Family Medicine CurrentSince Aug 7, 2024 Accepting new patients
CCN Arizona LLC Family Medicine PastSince Jul 31, 2017 Accepting new patients

Locations

6739 W Cactus Rd
Peoria, AZ 85381
Phone (623) 240-1110

1928 E Highland Ave
Ste F104
Phoenix, AZ 85016
Phone (602) 898-6977

14820 N Cave Creek Rd
Ste 2
Phoenix, AZ 85032
Phone (202) 455-0013

2375 E Camelback Rd
Ste 600
Phoenix, AZ 85016
Phone (602) 341-5248

70 Bell Rock Plz
Ste C
Sedona, AZ 86351
Phone (315) 717-7898

600 Anton Blvd
Fl 11
Costa Mesa, CA 92626
Phone (714) 371-4115

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25335/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1821318262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 E BELL ROAD",
            "address_2": "APT 166",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85022",
            "telephone_number": "602-839-3339",
            "fax_number": "602-495-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14780 W MOUNTAIN VIEW BLVD",
            "address_2": "SUITE 110",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747280",
            "telephone_number": "623-374-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "BRADLEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-08",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "46945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.