Individual provider Active NPI

Lucas Bradley, MD

  • Neurological Surgery Physician
  • Mountain Home, AR
National Provider Identifier
1831400621
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
E-10298 Issued in AR
Practice address
310 Buttercup Dr Ste a
Mountain Home, AR 72653-2932
Phone
(870) 508-7080
NPI assigned
Jun 25, 2010
Last updated
May 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X E-10298 AR Primary
Surgery Physician 208600000X E-10298 AR

Addresses

Primary practice location

310 Buttercup Dr Ste a
Mountain Home, AR 72653-2932

Mailing address

310 Buttercup Drive
Suite a
Mountain Home, AR 72653
Phone (870) 508-7080

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lucas.bradley@bhcawp.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170807000664 AR Practitioner - Neurosurgery 3971829474 Reassigns benefits to 1 organization
I20200510000005 MO Practitioner - Neurosurgery 3971829474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Missouri, Columbia School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

310 Buttercup Dr
Suite a
Mountain Home, AR 72653-2932
Phone (870) 508-7080

624 Hospital Dr
Mountain Home, AR 72653-2955
Phone (870) 508-1000

805 N Kentucky Ave Dept
787 Baxter Regional Neurosurgery and Spine CL
West Plains, MO 65775-2022
Phone (870) 508-7080

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion199
Laminectomy or laminotomy (partial removal of spine bones)93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-10298ARMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baxter County Regional Hospital, Inc CurrentSince Jul 31, 2017 Accepting new patients
Baxter County Regional Hospital Inc CurrentSince Jul 31, 2017 Accepting new patients
Baxter County Regional Hospital Inc Neurological Surgery CurrentSince May 1, 2020 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

310 Buttercup Dr
Ste A
Mountain Home, AR 72653
Phone (870) 424-3642

624 Hospital Dr
Mountain Home, AR 72653
Phone (870) 424-1000

1402 N Kentucky Ave
Ste 2
West Plains, MO 65775
Phone (870) 508-7080

Interoperability endpoints

  • Direct secure messaging: lucas.bradley@bhcawp.eclinicaldirectplus.com

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 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": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1831400621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 BUTTERCUP DRIVE",
            "address_2": "SUITE A",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "72653",
            "telephone_number": "870-508-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 BUTTERCUP DR STE A",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532932",
            "telephone_number": "870-508-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "LUCAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-25",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AR",
            "license": "E-10298",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AR",
            "license": "E-10298",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lucas.bradley@bhcawp.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "310 Buttercup Dr Ste A",
            "city": "Mountain Home",
            "state": "AR",
            "country_code": "US",
            "postal_code": "726532932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

Verify at the official NPI Registry.