NPIMap

Individual provider Active NPI

Ronald L Bradley, PA

  • Physician Assistant
  • Midlothian, VA
National Provider Identifier
1962662130
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110002781 Issued in VA
Practice address
13801 St Francis Blvd Ste 200
Midlothian, VA 23114-3206
Phone
(804) 379-2414
Fax
(804) 379-2413
NPI assigned
Jun 11, 2008
Last updated
May 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2020

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 0110002781 VA Primary

Addresses

Primary practice location

13801 St Francis Blvd Ste 200
Midlothian, VA 23114-3206

Mailing address

PO Box 71690
Richmond, VA 23255-1690
Phone (804) 288-2830

Other practice location 1

1501 Maple Ave
NW MOB Suite 200
Richmond, VA 23226-2553
Phone (804) 285-2300

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rbradley13769@direct.orthovirginia.com
Direct Messaging Address rbradley13769@direct.orthovirginia.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090204000468 VA Practitioner - Physician Assistant 2466516539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orthovirginia IncGroup PAC ID 0547157224, 570 clinicians
Professional Therapies of Roanoke, Inc.Group PAC ID 3375710619, shared by 5 NPIs, 272 clinicians

Practice addresses (Care Compare)

1115 Boulders Pkwy
North Chesterfield, VA 23225-4067

6800 Woodlake Commons Loop
Midlothian, VA 23112-2281
Phone (804) 302-4589

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.85 of 100Reported as group
Quality
90.74
Promoting interoperability
100
Improvement activities
40
Cost
78.74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110002781VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthovirginia, Inc CurrentSince Sep 5, 2017 Accepting new patients
Orthovirginia Inc Physician Assistant CurrentSince Sep 5, 2017 Accepting new patients
Tuckahoe Orthopaedic Associates, LTD PastSince Dec 18, 2022 Accepting new patients

Locations

8200 Meadowbridge Rd
Ste 200
Mechanicsville, VA 23116
Phone (804) 560-5595

13801 St Francis Blvd
Ste 200
Midlothian, VA 23114
Phone (804) 320-4064

1115 Boulders Pkwy
Ste 200
North Chesterfield, VA 23225
Phone (804) 327-9242

Interoperability endpoints

  • Direct secure messaging: rbradley13769@direct.orthovirginia.com

Organizations & group practices 4

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1962662130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71690",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232551690",
            "telephone_number": "804-288-2830",
            "fax_number": "804-288-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13801 ST FRANCIS BLVD STE 200",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231143206",
            "telephone_number": "804-379-2414",
            "fax_number": "804-379-2413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Maple Ave",
            "address_2": "NW MOB Suite 200",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232262553",
            "country_code": "US",
            "telephone_number": "804-285-2300",
            "fax_number": "804-288-2850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "RONALD",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-11",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110002781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rbradley13769@direct.orthovirginia.com",
            "affiliation": "N",
            "endpointDescription": "Ronald Bradley direct address",
            "address_1": "13801 St Francis Blvd Ste 200",
            "city": "Midlothian",
            "state": "VA",
            "country_code": "US",
            "postal_code": "231143206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rbradley13769@direct.orthovirginia.com",
            "affiliation": "N",
            "endpointDescription": "Ronald Bradley direct address",
            "address_1": "13801 St Francis Blvd Ste 200",
            "city": "Midlothian",
            "state": "VA",
            "country_code": "US",
            "postal_code": "231143206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.