Bradley Stockmann, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

2008012458 Issued in MO

Practice address

11615 Olive Blvd
Saint Louis, MO 63141-7274

Phone

(314) 993-9555

NPI assigned

Jun 1, 2007

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 MO, IL, TN3 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 3

Specialty

Diagnostic Radiology

Education

Saint Louis University School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinical Radiologists SCGroup PAC ID 3476540873, 32 clinicians

West County Radiological Group IncGroup PAC ID 8527966944, 105 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Hospital South Hospital, Saint Louis, MO, CCN 260077
• Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020
• Mercy Hospital Jefferson Hospital, Crystal City, MO, CCN 260023
• Mercy Hospital Washington Hospital, Washington, MO, CCN 260052
• Mercy Hospital Lincoln Hospital, Troy, MO, CCN 261319

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• West County Radiological Group, Inc.

  • Diagnostic Radiology Physician
  • Saint Louis, MO
  • NPI 1477500585
  Medicare reassignment Care Compare group NPD
• Clinical Radiologists, S.C.

  • Diagnostic Radiology Physician
  • Springfield, IL
  • NPI 1063469252

  MO

  Medicare reassignment Care Compare group NPD
• Metropolitan Hospital Authority

  • Multi-Specialty Clinic/Center
  • Nashville, TN
  • NPI 1710206156
  Medicare reassignment
• Vanderbilt University Medical Center

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1104202761

  MO

  Medicare reassignment
• Bellevue Radiology Inc

  • Diagnostic Radiology Physician
  • Saint Louis, MO
  • NPI 1083689228
  NPD (past)
• Elite Chiropractic Center LLC

  • Chiropractor
  • Glen Carbon, IL
  • NPI 1184136020
  NPD (past)
• Schuyler County Hospital District

  • Critical Access Hospital
  • Rushville, IL
  • NPI 1013969112
  NPD (past)

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

• Mercy Hospital Jefferson

  • General Acute Care Hospital
  • Festus, MO
  • NPI 1508859661
  Care Compare affiliation
• Mercy Hospital Lincoln

  • Critical Access Hospital
  • Troy, MO
  • NPI 1962808733
  Care Compare affiliation
• Mercy Hospital South

  • General Acute Care Hospital
  • Saint Louis, MO
  • NPI 1568481984
  Care Compare affiliation
• Mercy Hospitals East Communities

  • General Acute Care Hospital
  • Washington, MO
  • NPI 1285664177
  Care Compare affiliation
• Mercy Hospitals East Communities

  • General Acute Care Hospital
  • Saint Louis, MO
  • NPI 1427098169
  Care Compare affiliation
• Mercy Hospitals East Communities

  • Land Ambulance
  • Saint Louis, MO
  • NPI 1881329902

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1992907968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11615 OLIVE BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417274",
            "telephone_number": "314-993-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11615 OLIVE BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417274",
            "telephone_number": "314-993-9555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6520 Clayton Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond Heights",
            "state": "MO",
            "postal_code": "631171706",
            "country_code": "US",
            "telephone_number": "314-333-5777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Dunn Rd",
            "address_purpose": "LOCATION",
            "city": "Florissant",
            "state": "MO",
            "postal_code": "630318007",
            "country_code": "US",
            "telephone_number": "314-921-9555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13303 Tesson Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631284056",
            "country_code": "US",
            "telephone_number": "314-843-5888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOCKMANN",
        "first_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2008012458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Kathleen Stock, FNP-C
• Sara Stock
• Keith Evan Stockerl-Goldstein, MD
• Shannon Stocking
• Cynthia Stockman
• Kathleen Dienst Stockmann, MS, RD, LD
• Kathleen Mary Stockmann
• Margaret Stockmann, LCSW
• Meredith Stockmann
• Brooke Stockwell

• Diagnostic Radiology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Diagnostic Radiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.