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

NPI Status: Active since July 16, 2007

Contact Information

4110 51ST AVE S
FARGO, ND
ZIP 58104
Phone: (701) 364-3100

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  • Individual
  • Female
  • Years of Experience 20
  • 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 20 years of experience. She graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2004. The healthcare provider is registered in the NPI registry with number 1003015314 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 2 years ago.

NPI
1003015314
Provider Name
DR. MICHELLE RENAE BRADLEY DO
Gender
Female
Entity Type
Individual
Location Address
4110 51ST AVE S FARGO, ND 58104
Location Phone
(701) 364-3100
Mailing Address
1702 SOUTH UNIVERSITY DRIVE FARGO, ND 58103
Mailing Phone
(701) 364-3100
Mailing Fax
Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduation Year
2004
Is Sole Proprietor?
No
Enumeration Date
07-16-2007
Last Update Date
07-21-2022
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A primary care provider (PCP) like Michelle Bradley 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 registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $22.15 for a new patient copayment and $25.68 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
14577
License State
ND
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

52168 (MN)
2207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

PT14577 (ND)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross Blue Shield of North Dakota

    • BlueCare Gold 70 - PPO
    • BlueCare Silver 60 - PPO
    • BlueDirect Bronze 100 - PPO
    • BlueDirect Gold 90 - PPO
    • BlueDirect Silver 80 - PPO
    • BlueEssential 100 - PPO
    • BluePrime Gold 70 - PPO
    • BlueValue Bronze 50 - PPO
    • BlueValue Gold 75 - PPO
    • BlueValue Silver 60 - PPO
    • DakotaBlue Altru Gold 70 - PPO
    • DakotaBlue Altru Silver 60 - PPO
    • DakotaBlue Trinity Gold 70 - PPO
    • DakotaBlue Trinity Silver 60 - PPO
  • Sanford Health Plan

    • Sanford Individual Simplicity $1,750 - PPO
    • Sanford Individual Simplicity $2,800 - PPO
    • Sanford Individual Simplicity $3,500 - PPO
    • Sanford Individual Simplicity $4,750 - PPO
    • Sanford Individual Simplicity $6,000 - PPO
    • Sanford Individual Simplicity $7,000 - PPO
    • Sanford Individual Simplicity $7,100 HSA Qualified - PPO
    • Sanford Individual Simplicity $7100 HSA Qualified - PPO
    • Sanford Individual Simplicity $9,450 - PPO
    • Sanford Individual Simplicity Enhanced Care Plan $1,250 - PPO
    • Sanford Individual Simplicity Enhanced Care Plan $3,700 HSA Qualified - PPO
    • Sanford Individual Simplicity Standardized $1,500 - PPO
    • Sanford Individual Simplicity Standardized $5,900 - PPO
    • Sanford Individual Simplicity Standardized $7,500 - PPO
  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
036940100MEDICAID (05)MN 

PECOS Enrollment and Medicare Participation Status

Michelle Bradley is enrolled in PECOS and is eligible to order or refer health care 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.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3678619020

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20170706002896

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • 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 to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • Other DME (D1E)

    Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)

    7 DME suppliers used 14 Medicare Claims 38 Services Paid

  • Other DME (D1E)

    Continuous positive airway pressure (cpap) device (HCPCS:E0601)

    2 DME suppliers used 16 Medicare Claims 16 Services Paid

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 58104 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $88.61
  • Minimum New Patient Price $57.75
  • Maximum New Patient Price $174.56
  • Average New Patient Copayment $22.15
  • Minimum New Patient Copayment $14.43
  • Maximum New Patient Copayment $43.64

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $102.73
  • Minimum Established Patient Price $18.26
  • Maximum Established Patient Price $143.21
  • Average Established Patient Copayment $25.68
  • Minimum Established Patient Copayment $4.56
  • Maximum Established Patient Copayment $35.8

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Services

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 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 67

    Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical 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 Overall Rating
ESSENTIA HEALTH3000 32ND AVE SOUTH
FARGO, ND 58104
(701) 364-8000Acute Care Hospitals

Reviews for DR. MICHELLE RENAE BRADLEY DO

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003015314
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003011032
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 1 + 0 + 3 + 2 + 24 = 36
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 36 = 44

The NPI number 1003015314 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 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
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
1720566847 LYDIA CHARDEL BRUENJES PA
Individual
Physician Assistant4110 51ST AVE S
FARGO, ND 58104
(017) 364-3100
1740915115 KYLIE ENGEBRETSON PA-C
Individual
Physician Assistant4110 51ST AVE S
FARGO, ND 58104
(701) 364-3100
1891421178 STEVEN LIN CONDON FNP
Individual
Nurse Practitioner (Family)4110 51ST AVE S
FARGO, ND 58104
(701) 364-3100
1477644482 MICHELLE FRANEK NP
Individual
Nurse Practitioner (Family)4110 51ST AVE S
FARGO, ND 58104
(017) 364-8000
1992406656 SIDNEY R JOHNK APRN,CNP
Individual
Nurse Practitioner (Pediatrics)4110 51ST AVE S
FARGO, ND 58104
(701) 364-3100
1043671696 NIKKI C JESSUP FNP-BC
Individual
Nurse Practitioner (Family)4110 51ST AVE S
FARGO, ND 58104
(701) 364-3100
1215565908 ZARA A HUSSAIN MD
Individual
Pediatrics4110 51ST AVE S
FARGO, ND 58104
(701) 364-3100
1578245528 BRADY K LARSON APRN,CNP
Individual
Nurse Practitioner (Family)4110 51ST AVE S
FARGO, ND 58104
(701) 364-3100
1508201930 ASHLEY WILKE MD
Individual
Family Medicine4110 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
1073391033 MELANIE A HULM PA-C
Individual
Physician Assistant4110 51ST AVE S
FARGO, ND 58104
(701) 364-3100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003015314, enumerated in the NPI registry as an "individual" on July 16, 2007

The provider is located at 4110 51st Ave S Fargo, Nd 58104 and the phone number is (701) 364-3100

The provider's speciality is Family Medicine with taxonomy code 207Q00000X

The provider has more than 20 years of experience. She graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2004.

The provider might be accepting Accepts: Blue Cross Blue Shield of North Dakota, Sanford. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of May 10, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary 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.

Medicare beneficiaries should expect a typical cost of $88.61 with an average copayment of $22.15 for new patient appointments. Established patients should expect a typical charge of $102.73 and an average copayment of 25.68. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit.

The practitioner is affiliated to the following hospital(s): ESSENTIA HEALTH. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on July 16, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.