William Bradley, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

S405TA267 Issued in AL

Practice address

3291 Bel Air Mall
Mobile, AL 36606-3207

Phone

(251) 476-2015

Fax

(251) 478-5360

NPI assigned

Dec 8, 2006

Last updated

Feb 23, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Ohio State University - College of Optometry, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr. William BradleyGroup PAC ID 2062438872, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dr. William Bradley

  • Optometrist
  • Mobile, AL
  • NPI 1508928664
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329955200000",
    "number": "1952461279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3291 BEL AIR MALL",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366063207",
            "telephone_number": "251-476-2015",
            "fax_number": "251-478-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3291 BEL AIR MALL",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366063207",
            "telephone_number": "251-476-2015",
            "fax_number": "251-478-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2012-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S405TA267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Suzanne Bradley
• Derrick Bradley, PHARMD
• Jerry Allen Bradley Jr., MD, EDD, MDIV
• Madison Bradley
• Phillip David Bradley, O.T.
• Kelly Bradshaw
• Morgan Bradwell, LICSW
• Chad Kammer Brady, D.O.
• Nancy Alice Brady, PT
• Kelcy Semone Braggs

• Optometrist in Mobile, AL
• Providers in Mobile, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.