Jay Cameron Bradley, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

M2267 Issued in TX

Practice address

5109 80TH St
Lubbock, TX 79424-3017

Phone

(806) 792-5900

Fax

(806) 792-6092

NPI assigned

Feb 20, 2007

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 3

Medicare fee-for-service enrollment

Enrolled in TX

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

Texas Tech University Health Science Center School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Texas Eye PAGroup PAC ID 5294782389, 23 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jay.bradley.p30@direct.avp.nextgenshare.com
• Direct secure messaging: bjay@wtxeye.updoxdirect.com

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.

• West Texas Eye PA

  • Ophthalmology Physician
  • Lubbock, TX
  • NPI 1184733586
  Medicare reassignment Care Compare group NPD
• Cataract & Surgical Center of Lubbock LLC

  • Ambulatory Surgical Clinic/Center
  • Lubbock, TX
  • NPI 1902802036
  Medicare reassignment NPD
• West Texas Eye PA

  dba West Texas Eye Associates

  • Durable Medical Equipment & Medical Supplies
  • Midland, TX
  • NPI 1063212157
  NPD

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1912042763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5109 80TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794243017",
            "telephone_number": "806-792-5900",
            "fax_number": "806-792-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5109 80TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794243017",
            "telephone_number": "806-792-5900",
            "fax_number": "806-792-6092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3611 50th St",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794133911",
            "country_code": "US",
            "telephone_number": "806-792-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "JAY",
        "middle_name": "CAMERON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "TX",
            "license": "M2267",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "M2267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195329103",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM MEDICAID",
            "identifier": "38305551",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "8CV658",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandon R Bradley, MD
• Craig Bradley, M.D.
• Denise Yvonne Bradley
• Garner Burt Bradley, O.D.
• Jason Thomas Bradley, M.D.
• Loretta Jean Bradley, PHD
• Carol Bradshaw, RDN, LD
• Evan Bradshaw, MD
• Spencer D. Bradshaw, LMFTA, PHD
• Curtis W Brady, FNP-C

• Ophthalmology Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.