Active NPI
Bradley W Merrills, MD
- Obstetrics & Gynecology Physician
- Bay City, MI
National Provider Identifier
1861453359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 4301061522
- Practice address
- 3175 W Professional Drive
Bay City, MI 48706-2823 - Phone
- (989) 667-3777
- Fax
- (989) 667-9991
- NPI assigned
- Apr 1, 2006
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 4301061522 | MI | Primary |
Addresses
Primary practice location
3175 W Professional Drive
Bay City, MI 48706-2823
Mailing address
501 Lapeer Ave
Saginaw, MI 48607-1208
Phone (989) 759-6400
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 073 | Other | MI | COMMUNITY CHOICE |
| 1017360 | Other | MCLAREN HEALTH PLAN PROFE | |
| 4762091 | Medicaid | MI | |
| 0998824 | Other | BAY COUNTY HEALTH PLAN | |
| 150962 | Other | GREAT LAKES HEALTH PLAN | |
| 0998824 | Other | HEALTHPLUS | |
| 1017362 | Other | MCLAREN HEALTHPLAN MONITO | |
| 4762073 | Other | MOLINA HEALTH CARE PROFES | |
| 5932486 | Other | AETNA | |
| 700G361110 | Other | BLUE CROSS | |
| 381908328 | Other | HCAP | |
| 4762073 | Medicaid | MI | |
| 4762091 | Other | MOLINA HEALTH CARE MONITO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bradley.merrills@direct.medfusion.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Loma Linda University School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3175 Professional CT
Bay City, MI 48706-2823
Phone (989) 667-3377
Hospital & facility affiliations
- McLaren Bay Region
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Bay Region | Past | Accepting new patients | |
| Mercy Specialty Services | Obstetrics & Gynecology | Past | Accepting new patients |
Interoperability endpoints
- bradley.merrills.1@27771.direct.athenahealth.com
- bradley.merrills@direct.medfusion.com
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 and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Saginaw, MI
- NPI 1871684761
-
- General Acute Care Hospital
- Bay City, MI
- NPI 1528031226
-
- Internal Medicine Physician
- Muskegon, MI
- NPI 1629010384
Obstetrics & Gynecology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bay City, MI
- NPI 1528031226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617926400000",
"number": "1861453359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 LAPEER AVE",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486071208",
"telephone_number": "989-759-6400",
"fax_number": "989-759-6423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3175 W PROFESSIONAL DRIVE",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487062823",
"telephone_number": "989-667-3777",
"fax_number": "989-667-9991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRILLS",
"first_name": "BRADLEY",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-01",
"last_updated": "2021-04-09",
"certification_date": "2021-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "4301061522",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY CHOICE",
"identifier": "073",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN HEALTH PLAN PROFE",
"identifier": "1017360",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4762091",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BAY COUNTY HEALTH PLAN",
"identifier": "0998824",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT LAKES HEALTH PLAN",
"identifier": "150962",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPLUS",
"identifier": "0998824",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN HEALTHPLAN MONITO",
"identifier": "1017362",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA HEALTH CARE PROFES",
"identifier": "4762073",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5932486",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "700G361110",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HCAP",
"identifier": "381908328",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4762073",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA HEALTH CARE MONITO",
"identifier": "4762091",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bradley.merrills@direct.medfusion.com",
"affiliation": "N",
"address_1": "3175 W Professional Drive",
"city": "Bay City",
"state": "MI",
"country_code": "US",
"postal_code": "487062823",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bay City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.