Individual provider Active NPI

James Michael Bradwell, MD

  • Emergency Medicine Physician
  • Montgomery, AL
National Provider Identifier
1912965575
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD0000048615 Issued in TN
Practice address
400 Taylor Rd
Montgomery, AL 36117-3512
Phone
(818) 340-9988
Fax
(818) 587-2493
NPI assigned
May 3, 2006
Last updated
Oct 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 22767 AL
Emergency Medicine Physician 207P00000X ME132707 FL
Emergency Medicine Physician 207P00000X MD0000048615 TN Primary

Addresses

Primary practice location

400 Taylor Rd
Montgomery, AL 36117-3512

Mailing address

PO Box 2324
Birmingham, AL 35201-2324
Phone (818) 340-9988

Other practice location 1

110 Hospital Dr
Jefferson City, TN 37760-5282
Phone (865) 471-2500

Other identifiers 1

IdentifierTypeStateIssuer
051555581MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN, FL, VA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20031231000271 AL Practitioner - Emergency Medicine 0244139079 Reassigns benefits to 1 organization
I20120719000265 TN Practitioner - Emergency Medicine 0244139079 Reassigns benefits to 1 organization
I20190404002695 FL Practitioner - Emergency Medicine 0244139079 Reassigns benefits to 2 organizations
I20190604002175 VA Practitioner - Emergency Medicine 0244139079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Alabama School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America LLCGroup PAC ID 6608056171, 995 clinicians

Practice addresses (Care Compare)

11111 Panama City Beach Pkwy
Panama City Beach, FL 32407-2448
Phone (850) 804-2900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22767ALMDSpecialist
MD0000048615TNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Cep America, LLC Emergency Medicine Current Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Jun 1, 2012 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
App of Alabama Ed PLLC Emergency Medicine CurrentSince Apr 15, 2019 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Tennessee Em-I Medical Services PC Past Accepting new patients
Emergency Services of Montgomery PC Emergency Medicine Past Accepting new patients
Premier Medical Emergency Medicine Past Accepting new patients

Locations

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603

11111 Panama City Beach Pkwy
Panama City Beach, FL 32407
Phone (850) 236-8655

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

3801 E Highway 98
Port St Joe, FL 32456
Phone (850) 229-5600

5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556

110 Hospital Dr
Jefferson Cty, TN 37760
Phone (865) 471-2431

10820 Parkside Dr
Knoxville, TN 37934
Phone (865) 218-7011

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

726 McFarland St
Morristown, TN 37814
Phone (423) 522-6160

7565 Dannaher Dr
Powell, TN 37849
Phone (865) 545-8000

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1262

Organizations & group practices 10

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1912965575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2324",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352012324",
            "telephone_number": "818-340-9988",
            "fax_number": "818-587-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TAYLOR RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173512",
            "telephone_number": "818-340-9988",
            "fax_number": "818-587-2493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Jefferson City",
            "state": "TN",
            "postal_code": "377605282",
            "country_code": "US",
            "telephone_number": "865-471-2500",
            "fax_number": "865-471-2450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADWELL",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "22767",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME132707",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "MD0000048615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051555581",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.