Active NPI
Lucas Bradley, MD
- Neurological Surgery Physician
- Mountain Home, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- E-10298
- 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, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lucas.bradley@bhcawp.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 199 |
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| E-10298 | AR | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baxter County Regional Hospital, Inc | Current | Accepting new patients | |
| Baxter County Regional Hospital Inc | Current | Accepting new patients | |
| Baxter County Regional Hospital Inc | Neurological Surgery | Current | 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
- 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.
-
dba Baxter Health Neurosurgery & Spine Clinic
- Neurological Surgery Physician
- Mountain Home, AR
- NPI 1720515737
MO
-
dba Baxter Health Physical Therapy Clinic
- Physical Therapy Clinic/Center
- Yellville, AR
- NPI 1710541289
-
dba Baxter Health College Street Family Clinic
- Family Medicine Physician
- Mountain Home, AR
- NPI 1316777329
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba BRMC Professional Fees
- General Acute Care Hospital
- Mountain Home, AR
- NPI 1033147921
-
dba Baxter Health Home Health
- Home Health Agency
- Cotter, AR
- NPI 1396779278
-
dba Baxter Health
- General Acute Care Hospital
- Mountain Home, AR
- NPI 1881788933
-
- Home Health Agency
- Salem, AR
- NPI 1265414247
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.