Bradley Martin, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA00053 Issued in MS

Practice address

815 Highway 51 N
Brookhaven, MS 39601-2079

Phone

(601) 554-7400

NPI assigned

May 10, 2006

Last updated

Oct 17, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Bone and Joint Specialists, PAGroup PAC ID 1254328818, 53 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• King's Daughters Medical Center-Brookhaven Hospital, Brookhaven, MS, CCN 250057
• Franklin County Memorial Hospital Hospital, Meadville, MS, CCN 251330
• Southwest Ms Regional Medical Center Hospital, McComb, MS, CCN 250097

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bradley.martin.p1@direct.southernboneandjoint.nextgenshare.com

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.

• Southern Bone & Joint Specialists, PA

  • Orthopaedic Surgery Physician
  • Hattiesburg, MS
  • NPI 1831110725
  Medicare reassignment Care Compare group
• Bridging Community With Healthcare, LLC

  dba Brookhaven Health and Wellness Center

  • Primary Care Clinic/Center
  • Brookhaven, MS
  • NPI 1043627987
  Medicare reassignment
• Kings Daughters Medical Center

  dba Kings Daughters Pro Anesthesia

  • Anesthesiology Physician
  • Brookhaven, MS
  • NPI 1043245368
  Medicare reassignment
• King's Daughters Medical Center

  dba King's Daughters Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Brookhaven, MS
  • NPI 1881476364
  NPD
• King's Daughters Medical Center

  • General Acute Care Hospital
  • Brookhaven, MS
  • NPI 1972503464
  NPD
• M3 Medical Services LLC

  • Physician Assistant
  • Bogue Chitto, MS
  • NPI 1013594498
  NPD
• Southern Bone & Joint Specialists

  • Orthopaedic Surgery Physician
  • Brookhaven, MS
  • NPI 1881477354
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Franklin County Memorial Hospital

  • Critical Access Hospital
  • Meadville, MS
  • NPI 1669705612
  Care Compare affiliation
• King's Daughters Medical Center

  • General Acute Care Hospital
  • Brookhaven, MS
  • NPI 1972503464
  Care Compare affiliation
• Southwest Mississippi Regional Medical Center

  • General Acute Care Hospital
  • McComb, MS
  • NPI 1407805971
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1841249489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3688 VETERANS MEMORIAL DR STE 200",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394018246",
            "telephone_number": "601-554-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 HIGHWAY 51 N",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396012079",
            "telephone_number": "601-554-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BRADLEY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MS",
            "license": "PA00053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06974850",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Magee Spinal Rehab Center, LLC
• Joseph Delane Magee, D.C.
• Magnolia Healthcare, Inc. (Haven Hall Healthcare Center)
• Amber Marie Martin, LPC
• Amber N Martin, APRN, CPNP
• Kristina Wallace Mason
• Dana Williams Matte, NP
• April Matthews, PHARM.D.
• Amber C May, PHARM.D.
• Youlanda McClain

• Surgical Physician Assistant in Brookhaven, MS
• Providers in Brookhaven, MS by specialty
• Surgical Physician Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; 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.

Verify at the official NPI Registry.