DR. MICHELLE RENAE BRADLEY DO NPI 1003015314

Family Medicine in Fargo, ND

NPI 1003015314 Individual Female Years of Experience 18 Family Medicine PECOS Enrolled Accepts Medicare Approved Payment

About MICHELLE BRADLEY

Michelle Bradley is a primary care provider established in Fargo, North Dakota and her medical specialization is family medicine with more than 18 years of experience. She graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2004. The NPI number of Michelle Bradley is 1003015314 and was assigned on July 2007. The practitioner's primary taxonomy code is 207Q00000X with license number 14577 (ND). The provider is registered as an individual and her NPI record was last updated 4 years ago.

A primary care provider (PCP) like Dr. Michelle Renae Bradley Do sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Michelle Bradley is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Michelle Bradley is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Essentia Health.

NPI

1003015314

Provider NameDR. MICHELLE RENAE BRADLEY DO
Provider Location Address4110 51ST AVE S FARGO, ND 58104
Provider Mailing Address1702 SOUTH UNIVERSITY DRIVE FARGO, ND 58103
GenderFemale
NPI Entity TypeIndividual
Medical School NameLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduation Year2004
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date07-16-2007
Last Update Date07-25-2017


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.14577
License StateND
Taxonomy DescriptionFamily 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.

Business Address

DR. MICHELLE RENAE BRADLEY DO
4110 51ST AVE S
FARGO, ND
ZIP 58104
Phone: (701) 364-3100

Get Directions


Mailing Address

DR. MICHELLE RENAE BRADLEY DO
1702 SOUTH UNIVERSITY DRIVE
FARGO, ND
ZIP 58103
Phone:
Fax: (320) 202-0756



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID3678619020
PECOS Enrollment IDI20170706002896
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 207Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 111Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • 51Automated urinalysis test (HCPCS:81003)
  • 44Hemoglobin A1C level (HCPCS:83036)
  • 40Pneumococcal vaccine for injection into muscle (HCPCS:90670)
  • 40Administration of pneumococcal vaccine (HCPCS:G0009)
  • 37Administration of influenza virus vaccine (HCPCS:G0008)
  • 18Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • 18Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 14X-ray of chest, 2 views, front and side (HCPCS:71020)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Michelle Bradley is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
ESSENTIA HEALTH3000 32ND AVE SOUTH
FARGO, ND 58104
(701) 364-8000Acute Care Hospitals350070

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine52168MNNo

Taxonomy Description: 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.

2207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicinePT14577NDNo

Taxonomy Description: 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.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
080018781MEDICARE PIN (08)MN
036940100MEDICAID (05)MN

Other Providers at the same location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114048378 KATIE MARIE BRADSHAW PT
Individual
Physical Therapist4110 51ST AVE S
FARGO, ND 58104
(701) 364-4222
1225576739 PATRICK FAHEY PA-C
Individual
Physician Assistant4110 51ST AVE S
FARGO, ND 58104
(701) 364-3100
1619407327 KRISTY RATTI DPT
Individual
Physical Therapist4110 51ST AVE S
FARGO, ND 58104
(701) 364-3100
1144710658INNOVIS HEALTH, LLC
Organization
Non-Pharmacy Dispensing Site4110 51ST AVE S
FARGO, ND 58104
(952) 653-2565
1154809267 BRITTNEY L BENSON PA-C
Individual
Physician Assistant4110 51ST AVE S
FARGO, ND 58104
(701) 364-8000
1861044562 SARAH B HANSON APRN, CNP
Individual
Nurse Practitioner (Family)4110 51ST AVE S
FARGO, ND 58104
(701) 364-3100
1780043257INNOVIS HEALTH LLC
Organization
Clinic/Center (Multi-Specialty)4110 51ST AVE S
FARGO, ND 58104
(701) 364-3100
1467985291DR. JORDAN I AMATUEGWU M.D.
Individual
Family Medicine4110 51ST AVE S
FARGO, ND 58104
(701) 364-3100
1992275671 TIFFANY AMBER PICKARD APRN, CNP
Individual
Nurse Practitioner4110 51ST AVE S
FARGO, ND 58104
(701) 364-3100
1790372712 KIMBERLY MAE NAPLIN NP
Individual
Nurse Practitioner (Family)4110 51ST AVE S
FARGO, ND 58104
(701) 364-3100

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.