Individual provider Active NPI

Bradley Randall Sellers, M.D.

  • Family Medicine Physician
  • Tallmadge, OH
National Provider Identifier
1861467169
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-08-1663-S Issued in OH
Practice address
33 North Ave
Suite 103
Tallmadge, OH 44278-1925
Phone
(330) 633-3883
Fax
(330) 633-6658
NPI assigned
Feb 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35-08-1663-S OH Primary

Addresses

Primary practice location

33 North Ave
Suite 103
Tallmadge, OH 44278-1925

Mailing address

1320 Corporate Dr
Ste 200
Hudson, OH 44236-4442
Phone (330) 633-3883

Other identifiers 7

IdentifierTypeStateIssuer
2345877MedicaidOH
000000181144OtherTHREE RIVERS HEALTH PLANS
000000341614OtherANTHEM BCBS
729962OtherBUCKEYE COMMUNITY HEALTH
Q039874OtherHOMETOWN HEALTH NETWORK
000000341614OtherUNICARE - LIFE & HEALTH
796OtherSUMMACARE HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040915000981 OH Practitioner - Family Practice 8123095429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Northeastern Ohio University College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unity Health Network LLCGroup PAC ID 0244379717, 59 clinicians

Practice addresses (Care Compare)

1320 Corporate Dr
Suite 200
Hudson, OH 44236-4442
Phone (330) 633-3883

Hospital & facility affiliations

  • Summa Home Health and Hospice LLC Home health agency, Akron, OH, CCN 367713
  • Summa Western Reserve Hospital Hospital, Cuyahoga Falls, OH, CCN 360150
  • Akron General Medical Center Hospital, Akron, OH, CCN 360027
  • Summa Health System Hospital, Akron, OH, CCN 360020
  • University Hospitals Portage Medical Center Hospital, Ravenna, OH, CCN 360078

Merit-based Incentive Payment System (MIPS)

Final score
86.67 of 100Reported as group
Quality
77.19
Promoting interoperability
100
Improvement activities
40
Cost
78.37

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Health Network, LLC Family Medicine CurrentSince Feb 7, 2022 Accepting new patients
Unity Health Network, LLC CurrentSince Feb 7, 2022 Accepting new patients

Locations

1900 23rd St
Cuyahoga Fls, OH 44223
Phone (330) 929-2685

3033 State Rd
Ste 204
Cuyahoga Fls, OH 44223
Phone (330) 253-9727

3033 State Rd
Ste 101
Cuyahoga Fls, OH 44223
Phone (330) 923-8372

1320 Corporate Dr
Ste 200
Hudson, OH 44236
Phone (330) 633-3883

Interoperability endpoints

  • Direct secure messaging: bradley.sellers@wrhs.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 7

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": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1861467169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 CORPORATE DR",
            "address_2": "STE 200",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442364442",
            "telephone_number": "330-633-3883",
            "fax_number": "330-253-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 NORTH AVE",
            "address_2": "SUITE 103",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442781925",
            "telephone_number": "330-633-3883",
            "fax_number": "330-633-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLERS",
        "first_name": "BRADLEY",
        "middle_name": "RANDALL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-08-1663-S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2345877",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THREE RIVERS HEALTH PLANS",
            "identifier": "000000181144",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000341614",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE COMMUNITY HEALTH",
            "identifier": "729962",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOMETOWN HEALTH NETWORK",
            "identifier": "Q039874",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE - LIFE & HEALTH",
            "identifier": "000000341614",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUMMACARE HEALTH PLAN",
            "identifier": "796",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallmadge, OH

Sources for this page

Verify at the official NPI Registry.