Individual provider Active NPI

Bradley James Warr, PA

  • Physician Assistant
  • Scottsdale, AZ
National Provider Identifier
1881755965
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
15223 N. 87TH St #110
Statclinix
Scottsdale, AZ 85260
Phone
(480) 682-4100
NPI assigned
Dec 13, 2006
Last updated
Jun 10, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

15223 N. 87TH St #110
Statclinix
Scottsdale, AZ 85260

Mailing address

94 Parker Rd
Framingham, MA 01702-5510
Phone (480) 403-1727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091130000123 AZ Practitioner - Physician Assistant 4981743283 Reassigns benefits to 1 organization
I20231009001735 TX Practitioner - Physician Assistant 4981743283 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jagannath LLCGroup PAC ID 3971668351, 12 clinicians
Quc Pleasanton LLCGroup PAC ID 9032350996, 5 clinicians
Quality Care Clinic LLCGroup PAC ID 3779742713, 10 clinicians
Sona LLC of TexasGroup PAC ID 3870618622, 14 clinicians

Practice addresses (Care Compare)

19422 N US Hwy 281
Suite 106
San Antonio US, TX 78258-7615

19422 US Hwy 281 N
Suite 106
San Antonio, TX 78258-7615
Phone (210) 455-9000

2106 W Oaklawn Rd
Pleasanton, TX 78064-4609
Phone (830) 569-1950

318 W Loop 1604
San Antonio, TX 78245-3194
Phone (210) 523-2273

6032 FM
3009 Suite 120
Schertz, TX 78154-3443
Phone (210) 878-4033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Urgent Care Arizona LLC CurrentSince Dec 20, 2019 Accepting new patients

Locations

1676 E McMurray Blvd
Ste 1
Casa Grande, AZ 85122
Phone (520) 316-0688

3457 W White Mountain Blvd
Lakeside, AZ 85929
Phone (888) 264-2127

101 E State Highway 260
Ste G
Payson, AZ 85541
Phone (888) 264-2127

680 E Deuce of Clubs
Ste B
Show Low, AZ 85901
Phone (928) 537-2777

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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370822400000",
    "number": "1881755965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 PARKER RD",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017025510",
            "telephone_number": "480-403-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15223 N. 87TH ST #110",
            "address_2": "STATCLINIX",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85260",
            "telephone_number": "480-682-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARR",
        "first_name": "BRADLEY",
        "middle_name": "JAMES",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2013-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.