Active NPI
Joshua R Bradish, MD
- Anatomic Pathology & Clinical Pathology Physician
- Kalamazoo, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 4301106710
- Practice address
- 1521 Gull Rd
Kalamazoo, MI 49048-1640 - Phone
- (269) 226-7000
- Fax
- (419) 866-5453
- NPI assigned
- Jun 11, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology (Pathology) Physician | 207ZD0900X | 4301106710 | MI | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 11015660A | IN | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 4301106710 | MI | Primary |
Addresses
Primary practice location
1521 Gull Rd
Kalamazoo, MI 49048-1640
Mailing address
5700 Southwyck Blvd
Toledo, OH 43614-1509
Phone (800) 288-8325
Other practice location 1
6565 W Main St Ste 220
Kalamazoo, MI 49009-9144
Phone (269) 266-7231
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
- Pathology
- Education
- Indiana University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 John St
Kalamazoo, MI 49007-5341
Phone (269) 341-7654
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11015660A | IN | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Michigan Pathology Services, PC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Patholgy Services of Kalamazoo, PC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Promed Healthcare | Current | Accepting new patients | |
| Ascension Medical Group Promed | Current | Accepting new patients | |
| Diagnostic Pathology Services of Southwest Michigan PC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Premier Medical Care P C | Past | Accepting new patients |
Locations
420 W High St
Dowagiac, MI 49047
Phone (269) 782-8681
1717 Shaffer St
Kalamazoo, MI 49048
Phone (269) 226-5050
6565 W Main St
Kalamazoo, MI 49009
Phone (269) 375-0400
601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100
1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165
6565 W Main St
Ste 220
Kalamazoo, MI 49009
Phone (269) 266-7231
411 Naomi St
Plainwell, MI 49080
Phone (269) 685-0700
7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405
1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941
701 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691
5700 Southwyck Blvd
Toledo, OH 43614
Organizations & group practices 6
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Kalamazoo, MI
- NPI 1548243595
-
- Family Medicine Physician
- Portage, MI
- NPI 1497709869
-
- Anatomic Pathology & Clinical Pathology Physician
- Kalamazoo, MI
- NPI 1912241597
-
- Anatomic Pathology & Clinical Pathology Physician
- Saint Joseph, MI
- NPI 1467944181
-
dba Borgess Women's Health
- Rural Health Clinic/Center
- Plainwell, MI
- NPI 1487708830
-
dba Premier Radiology
- Diagnostic Radiology Physician
- Kalamazoo, MI
- NPI 1487696589
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Battle Creek, MI
- NPI 1083644579
-
- Critical Access Hospital
- Paw Paw, MI
- NPI 1962508259
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1831116441
-
dba Oaklawn Hospital
- General Acute Care Hospital
- Marshall, MI
- NPI 1861475360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599609600000",
"number": "1861712994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 SOUTHWYCK BLVD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436141509",
"telephone_number": "800-288-8325",
"fax_number": "419-866-5453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1521 GULL RD",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490481640",
"telephone_number": "269-226-7000",
"fax_number": "419-866-5453"
}
],
"practiceLocations": [
{
"address_1": "6565 W Main St Ste 220",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "490099144",
"country_code": "US",
"telephone_number": "269-266-7231",
"fax_number": "269-266-6705",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRADISH",
"first_name": "JOSHUA",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-11",
"last_updated": "2020-09-09",
"certification_date": "2020-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "MI",
"license": "4301106710",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IN",
"license": "11015660A",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MI",
"license": "4301106710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.