Active NPI
Bradley H Werrell, DO
- Family Medicine Physician
- Globe, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4540
- Practice address
- 5990 S Hospital Dr
Globe, AZ 85501-9462 - Phone
- (928) 425-8151
- Fax
- (928) 425-9425
- NPI assigned
- Apr 5, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4540 | AZ | Primary |
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 4540 | AZ | |
| Family Medicine Physician | 207Q00000X | 34007912 | OH | |
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 34007912 | OH |
Addresses
Primary practice location
5990 S Hospital Dr
Globe, AZ 85501-9462
Mailing address
PO Box 2509
Globe, AZ 85502-2509
Phone (928) 425-8151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2404937 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070221000615 | AZ | Practitioner - Family Practice | 2365458726 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cobre Valley Regional Medical Center
Practice addresses (Care Compare)
5880 S Hospital Dr
Globe, AZ 85501-9447
Phone (928) 425-3247
5990 S Hospital Dr
Globe, AZ 85501-9462
Phone (928) 425-8151
5994 S Hospital Dr
Globe, AZ 85501-9462
Phone (928) 425-7108
Hospital & facility affiliations
- Billet Home Health Inc - Mesa
- Interim Health Care
- Cobre Valley Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4540 | AZ | MD | Dentist |
| 34007912 | OH | MD | Neuromusculoskeletal Medicine & OMM Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cobre Valley Regional Medical Center | Current | Accepting new patients | |
| Cobre Valley Regional Medical Center | Current | Accepting new patients | |
| Cobre Valley Regional Medical Center | Current | Accepting new patients | |
| Memorial Hospital of Geneva | Past | Accepting new patients | |
| Athens Medical Associates, LLC | Family Medicine | Past | Accepting new patients |
| Athens Medical Associates, LLC | Past | Accepting new patients | |
| Cobre Valley Regional Medical Center | Family Medicine | Past | Accepting new patients |
Locations
5990 S Hospital Dr
Globe, AZ 85501
Phone (520) 402-9319
5990 S Hospital Dr
Bldg D
Globe, AZ 85501
5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217
5994 S Hospital Dr
Globe, AZ 85501
Phone (928) 425-7108
1134 W US Highway 60
Superior, AZ 85173
Phone (520) 689-2423
Organizations & group practices 14
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.
-
- Rural Health Clinic/Center
- Tonto Basin, AZ
- NPI 1144799677
Family Medicine
-
- Rural Health Clinic/Center
- Globe, AZ
- NPI 1245899384
-
- Rural Health Clinic/Center
- Young, AZ
- NPI 1497021844
-
- Rural Health Clinic/Center
- Globe, AZ
- NPI 1538315890
-
- Rural Health Clinic/Center
- Superior, AZ
- NPI 1649245135
-
- Medicare Defined Swing Bed Hospital Unit
- Globe, AZ
- NPI 1730333758
-
- Rural Health Clinic/Center
- Globe, AZ
- NPI 1962896167
-
- Rural Health Clinic/Center
- Kearny, AZ
- NPI 1992967780
-
- Hospitalist Physician
- Globe, AZ
- NPI 1548591720
-
- Community/Retail Pharmacy
- Globe, AZ
- NPI 1639384233
-
- Obstetrics & Gynecology Nurse Practitioner
- Athens, OH
- NPI 1467583203
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Tucson, AZ
- NPI 1053342717
-
- Home Health Agency
- Mesa, AZ
- NPI 1396497889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195171200000",
"number": "1952363715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2509",
"city": "GLOBE",
"state": "AZ",
"postal_code": "855022509",
"telephone_number": "928-425-8151",
"fax_number": "928-425-9425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5990 S HOSPITAL DR",
"city": "GLOBE",
"state": "AZ",
"postal_code": "855019462",
"telephone_number": "928-425-8151",
"fax_number": "928-425-9425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERRELL",
"first_name": "BRADLEY",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2007-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "4540",
"primary": true
},
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "AZ",
"license": "4540",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34007912",
"primary": false
},
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "OH",
"license": "34007912",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2404937",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Globe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.