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BRADLEY WAYNE FENTON MD
NPI 1013070309
Internal Medicine in Philadelphia, PA

Active since December 18, 2006Opted out of Medicare · through Jan 1, 2027
1100 WALNUT ST, SUITE #601, PHILADELPHIA, PA 19107(215) 955-9330(215) 955-9340 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bradley Wayne Fenton Md NPPES

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

BRADLEY WAYNE FENTON MD (NPI 1013070309) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD020469E) and active in the NPI registry since December 2006. He has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1013070309
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBRADLEY WAYNE FENTONCredential: MD
Location Address1100 WALNUT ST, SUITE #601Philadelphia, PA 19107
Mailing Address1100 Walnut St, Suite #601Philadelphia, PA 19107 · (215) 955-9330 · Fax (215) 955-9340
Phone(215) 955-9330
Fax(215) 955-9340
Sole ProprietorNo
Enumeration DateDecember 18, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1013070309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD020469E
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1100 WALNUT ST, Philadelphia, PA 19107
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified116577PA
Medicare UPIND71185

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Bradley Wayne Fenton Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2013 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2013
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 20

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

DR. ANIRUDH KOHLI MD
Surgery
1100 WALNUT ST, SUITE 500
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6750
CATHERINE GILL-PRESTON ACNP, MSN, CRNP
Nurse Practitioner (Acute Care)
1100 WALNUT ST, MOB 7TH FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-4960
THEODORE TSANGARIS M.D.
Surgery
1100 WALNUT ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6999
DR. JOHN C. KAIRYS M.D.
Surgery
1100 WALNUT ST, SUITE 500
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-5528
DR. HOOMAN NOORCHASHM MD
Surgery
1100 WALNUT ST, MOB, 5TH FLOOR, SUITE 500
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6750
DR. DAVID CHOOHYUN PAIK M.D.
Surgery (Surgical Critical Care)
1100 WALNUT ST, SUITE 500
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6750
DR. KAREN A. CHOJNACKI M.D.
Surgery
1100 WALNUT ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6750
DR. ALEC C BEEKLEY M.D.
Surgery (Trauma Surgery)
1100 WALNUT ST, 5TH FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6750

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 Bradley Fenton's NPI number?

The NPI number for Bradley Fenton is 1013070309. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Where is Bradley Fenton located?

Bradley Fenton practices at 1100 Walnut St Suite #601, Philadelphia, PA 19107. The listed phone number is (215) 955-9330.

What is Bradley Fenton's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Bradley Fenton enrolled in Medicare?

No. Bradley Fenton has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Bradley Fenton was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.