DR. MICHELLE RENAE BRADLEY DO
NPI 1003015314
Family Medicine in Fargo, ND

Active since July 16, 2007PECOS EnrolledAccepts Medicare Assignment
4110 51ST AVE S, FARGO, ND 58104(701) 364-3100 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Jul 25, 2017, Jun 7, 2017 (3 updates tracked since 2017).

About Dr. Michelle Renae Bradley Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHELLE RENAE BRADLEY DO (NPI 1003015314) is an individual family medicine provider in Fargo, North Dakota, licensed in North Dakota (14577) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Essentia Health, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2004).

NPPES Registry Identity

NPI1003015314
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MICHELLE RENAE BRADLEYCredential: DO
Location Address4110 51ST AVE SFargo, ND 58104-7776
Mailing Address1702 South University DriveFargo, ND 58103-4940 · (701) 364-3100 · Fax (320) 202-0756
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2004
Enumeration DateJuly 16, 2007
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1003015314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in ND · 14577 Licensed in MN · 52168 Licensed in ND · PT14577
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4110 51ST AVE S, Fargo, ND 58104

Other Identifiers 1

Medicaid036940100MN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Michelle Renae Bradley Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678619020
PECOS Enrollment IDI20170706002896
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
203 services115 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
106 services106 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
49 services40 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Essentia Health

Acute Care Hospitals · Fargo, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350070
Location3000 32nd Ave SouthFargo, ND 58104 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
4110 51ST AVE S
FARGO, ND 58104
Physician Assistant
4110 51ST AVE S
FARGO, ND 58104
Physical Therapist
4110 51ST AVE S
FARGO, ND 58104
Non-Pharmacy Dispensing Site
4110 51ST AVE S
FARGO, ND 58104
Physician Assistant
4110 51ST AVE S
FARGO, ND 58104
Nurse Practitioner (Family)
4110 51ST AVE S
FARGO, ND 58104
Nurse Practitioner
4110 51ST AVE S
FARGO, ND 58104
Nurse Practitioner (Family)
4110 51ST AVE S
FARGO, ND 58104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Bradley's NPI number?

The NPI number for Michelle Bradley is 1003015314. It was assigned to this individual provider in the NPPES registry on July 16, 2007.

Where is Michelle Bradley located?

Michelle Bradley practices at 4110 51st Ave S, Fargo, ND 58104. The listed phone number is (701) 364-3100.

What is Michelle Bradley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michelle Bradley enrolled in Medicare?

Yes. Michelle Bradley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michelle Bradley accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Michelle Bradley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michelle Bradley affiliated with any hospitals?

According to CMS data, Michelle Bradley is affiliated with Essentia Health.

When was this NPI record last updated?

The NPPES record for Michelle Bradley was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.