Andrew Edward Bradberry, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E-17923 Issued in AR

Practice address

1911 N 2ND St
Cabot, AR 72023-2209

Phone

(501) 843-5757

Fax

(501) 843-5700

NPI assigned

Jun 30, 2016

Last updated

Aug 28, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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

Family Practice

Education

Louisiana State University School of Medicine in New Orleans, 2019

Medicare assignment

May accept Medicare assignment

Group practices

White County Medical CenterGroup PAC ID 4880688654, 182 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Unity Health - Jacksonville Hospital, Jacksonville, AR, CCN 040164

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• White County Medical Center

  dba Unity Health WCMC Hospitalist

  • Hospitalist Physician
  • Searcy, AR
  • NPI 1053662890
  Medicare reassignment Care Compare group NPD
• White County Medical Center

  dba Unity Health Lab of Path

  • Anatomic Pathology & Clinical Pathology Physician
  • Searcy, AR
  • NPI 1497291520
  NPD
• White County Medical Center

  dba Unity Health Newport OB/GYN

  • Obstetrics & Gynecology Physician
  • Newport, AR
  • NPI 1740940220
  NPD
• White County Medical Center

  dba McAfee Medical Clinic

  • Primary Care Clinic/Center
  • Beebe, AR
  • NPI 1497174858
  NPD (past)
• Imperial Health LLP

  • Family Medicine Physician
  • Lake Charles, LA
  • NPI 1326396375
  NPD (past)

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

• Unity Health - Jacksonville

  • Psychiatric Hospital
  • Jacksonville, AR
  • NPI 1245954460
  Care Compare affiliation

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1972954006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 HAWKINS DR",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434802",
            "telephone_number": "501-843-5757",
            "fax_number": "501-843-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 N 2ND ST",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720232209",
            "telephone_number": "501-843-5757",
            "fax_number": "501-843-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADBERRY",
        "first_name": "ANDREW",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-30",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-17923",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "LA",
            "license": "307302",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Ann Blair, MD
• Anna Bohnett
• Erica D Bookout
• Beau Bordelon
• Kailee Bowers, QBHP
• Jennifer Bradley
• Markeia Bradley, MHPP
• James Bart Brady, O.D.
• Melissa Renee Branscum, PHARMD
• Stephanie Theresa Bray, RN

• Family Medicine Physician in Cabot, AR
• Providers in Cabot, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.