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BRADLEY P BANGSTAD O.D.
NPI 1013935006
Optometrist in Gainesville, FL

Active since July 17, 2006PECOS Enrolled
4220 NW 16TH BLVD, GAINESVILLE, FL 32605(352) 331-5440(352) 271-3353 Get Directions Write a Review

NPPES record last updated: December 29, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bradley P Bangstad O.d. NPPES

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

BRADLEY P BANGSTAD O.D. (NPI 1013935006) is an individual optometrist in Gainesville, Florida, licensed in Florida (OPC 1898) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (1983).

NPPES Registry Identity

NPI1013935006
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameBRADLEY P BANGSTADCredential: O.D.
Location Address4220 NW 16TH BLVDGainesville, FL 32605-3508
Mailing Address4220 Nw 16th BlvdGainesville, FL 32605-3508 · (352) 331-5440 · Fax (352) 271-3353
Phone(352) 331-5440
Fax(352) 271-3353
Sole ProprietorYes
Medical School CMSOhio State University - College Of OptometryGraduated 1983
Enumeration DateJuly 17, 2006
Last NPPES UpdateDecember 29, 2014
✔ NPI 1013935006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in FL · OPC 1898
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
4220 NW 16TH BLVD, Gainesville, FL 32605
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Other Names 1

Professional Name (2)Brad Bangstad O.d.

Other Identifiers 3

Medicare UPIN38049FL
Medicare ID-Type Unspecified20395FL
Medicaid621121600FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bradley P Bangstad O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759385867
PECOS Enrollment IDI20060901000306
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 2

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
67 services67 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32605 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Bangstad's NPI number?

The NPI number for Bradley Bangstad is 1013935006. It was assigned to this individual provider in the NPPES registry on July 17, 2006. The provider is also known as Brad Bangstad O.D..

Where is Bradley Bangstad located?

Bradley Bangstad practices at 4220 NW 16th Blvd, Gainesville, FL 32605. The listed phone number is (352) 331-5440.

What is Bradley Bangstad's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Bradley Bangstad enrolled in Medicare?

Yes. Bradley Bangstad is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bradley Bangstad was last updated on December 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.