Bradley Witt Gustave, M.D./M.B.A.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

85288 Issued in SC

Practice address

601 Halton Rd
Greenville, SC 29607-3403

Phone

(864) 458-7956

Fax

(864) 458-8390

NPI assigned

Apr 24, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Ophthalmology

Education

University of Colorado School of Medicine, Aurora, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jervey Eye Group PAGroup PAC ID 2860397148, 20 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Jervey Eye Group, PA

  • Ophthalmology Physician
  • Simpsonville, SC
  • NPI 1447220710
  Medicare reassignment Care Compare group NPD
• Jervey Eye Group, PA

  • Ophthalmology Physician
  • Greenville, SC
  • NPI 1992775696
  NPD
• Corneal Consultants of Colorado PC

  • Eyewear Supplier
  • Littleton, CO
  • NPI 1326032418

  Ophthalmology

  NPD (past)
• Eye Center of Northern Colorado, P.C

  • Optometrist
  • Boulder, CO
  • NPI 1568170520
  NPD (past)

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1861636581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 HALTON RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073403",
            "telephone_number": "864-458-7956",
            "fax_number": "864-458-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 HALTON RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073403",
            "telephone_number": "864-458-7956",
            "fax_number": "864-458-8390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Stevens St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054528",
            "country_code": "US",
            "telephone_number": "864-250-6487",
            "fax_number": "864-250-6475",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 S Pendleton St",
            "address_purpose": "LOCATION",
            "city": "Easley",
            "state": "SC",
            "postal_code": "296403048",
            "country_code": "US",
            "telephone_number": "864-859-3233",
            "fax_number": "864-850-4001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Colony Centre Way",
            "address_purpose": "LOCATION",
            "city": "Simpsonville",
            "state": "SC",
            "postal_code": "296813286",
            "country_code": "US",
            "telephone_number": "864-458-3900",
            "fax_number": "864-967-9118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUSTAVE",
        "first_name": "BRADLEY",
        "middle_name": "WITT",
        "credential": "M.D./M.B.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-24",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "85288",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "DR.0053651",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "852884",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamya Gunnings, RBT
• Andrew Wallace Gunter, MD
• Dianna T Gurich, M.D.
• Richard William Gurich Jr., M.D.
• Peter Michael Gustafson, CRNA
• Ashley Christine Gutierrez Finn, PA-C
• Karel Gutierrez, PT
• Vicky Gutierrez, PA-C
• David Alex Gutman, M.D.
• Catherine Goodwin Gutshall, RN, CRNA

• Ophthalmology Physician in Greenville, SC
• Providers in Greenville, SC by specialty
• Ophthalmology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.