Active NPI
Bradley W. Cantley
- Physician Assistant
- Sylacauga, AL
National Provider Identifier
1821338849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.879
- Practice address
- 1023 W Fort Williams St
Sylacauga, AL 35150-2301 - Phone
- (256) 245-6700
- Fax
- (256) 245-6002
- NPI assigned
- Feb 28, 2013
- Last updated
- Mar 7, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.879 | AL | Primary |
Addresses
Primary practice location
1023 W Fort Williams St
Sylacauga, AL 35150-2301
Mailing address
3630 Oak Mountain State Park Rd
Pelham, AL 35124-4375
Phone (205) 368-9907
Other names 1
- Brad W Cantley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 70.43 of 100
- Quality
- 65.59
- Improvement activities
- 40
- Cost
- 64.54
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.879 | AL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Alabama Health Services Foundation, PC. | Current | Accepting new patients | |
| American Family Care, LLC | Current | Accepting new patients | |
| American Family Care, LLC | Current | Accepting new patients |
Locations
619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405
619 19th St S
Birmingham, AL 35249
8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Vestavia Hills, AL
- NPI 1265210645
-
- Primary Care Clinic/Center
- Fairfield, AL
- NPI 1578579975
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362614400000",
"number": "1821338849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3630 OAK MOUNTAIN STATE PARK RD",
"city": "PELHAM",
"state": "AL",
"postal_code": "351244375",
"telephone_number": "205-368-9907",
"fax_number": "256-245-6002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1023 W FORT WILLIAMS ST",
"city": "SYLACAUGA",
"state": "AL",
"postal_code": "351502301",
"telephone_number": "256-245-6700",
"fax_number": "256-245-6002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTLEY",
"first_name": "BRADLEY",
"middle_name": "W.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-28",
"last_updated": "2013-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AL",
"license": "PA.879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRAD",
"last_name": "CANTLEY",
"middle_name": "W",
"credential": "PA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Sylacauga, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.