Individual provider Active NPI

David Bradley, MPT

  • Physical Therapist
  • Irvine, CA
National Provider Identifier
1871645192
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
MPT18575 Issued in CA
Practice address
19732 Macarthur Blvd
Suite 125
Irvine, CA 92612-2419
Phone
(949) 644-2022
Fax
(949) 644-1914
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X MPT18575 CA Primary

Addresses

Primary practice location

19732 Macarthur Blvd
Suite 125
Irvine, CA 92612-2419

Mailing address

19732 Macarthur Blvd
Suite 125
Irvine, CA 92612-2419
Phone (949) 644-2022

Other identifiers 1

IdentifierTypeStateIssuer
DF9194OtherCARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120222000285 CA Practitioner - Physical Therapist in Private Practice 4385723170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Loma Linda University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bradley Physiotherapy PCGroup PAC ID 9739513946, 6 clinicians

Practice addresses (Care Compare)

19732 Macarthur Blvd
Suite 125
Irvine, CA 92612-2455
Phone (949) 644-2022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18575CAMDFamily Medicine Physician
MPT18575CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley Physiotherapy PC Physical Therapist CurrentSince Apr 4, 2014 Accepting new patients
Einhorn Mandas & Bradley Rehab Inc Physical Therapist Past Accepting new patients

Locations

19732 MacArthur Blvd
Ste 125
Irvine, CA 92612
Phone (949) 644-2002

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.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1871645192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19732 MACARTHUR BLVD",
            "address_2": "SUITE 125",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122419",
            "telephone_number": "949-644-2022",
            "fax_number": "949-644-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19732 MACARTHUR BLVD",
            "address_2": "SUITE 125",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122419",
            "telephone_number": "949-644-2022",
            "fax_number": "949-644-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "MPT18575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF9194",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.