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BRADLEY THOMAS CORBIN
NPI 1104259548
Obstetrics & Gynecology in Orange Park, FL

Active since August 20, 2013PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1825 KINGSLEY AVE STE 390, ORANGE PARK, FL 32073(904) 639-2260(904) 272-1986 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 4, 2025, Sep 3, 2025, Nov 14, 2022 (3 updates tracked since 2022).

About Bradley Thomas Corbin NPPES

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

BRADLEY THOMAS CORBIN (NPI 1104259548) is an individual obstetrics & gynecology provider in Orange Park, Florida, licensed in Florida (ME158618) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains a secondary practice location in Boise.

NPPES Registry Identity

NPI1104259548
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameBRADLEY THOMAS CORBIN
Location Address1825 KINGSLEY AVE STE 390Orange Park, FL 32073-4484
Mailing Address1825 Kingsley Ave Ste 390Orange Park, FL 32073-4484 · (904) 639-2260 · Fax (904) 272-1986
Phone(904) 639-2260
Fax(904) 272-1986
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 2017
Enumeration DateAugust 20, 2013
Last NPPES UpdateDecember 4, 20253 updates tracked since enumeration
NPPES CertifiedDecember 4, 2025
✔ NPI 1104259548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in FL · ME158618✔ Licensed in ID · 5171975
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1825 KINGSLEY AVE STE 390, Orange Park, FL 32073
Open in Google Maps ↗

Secondary Practice Location 1

Location 1100 E Idaho St Ste 302Boise, ID 83712-6269 · Phone (208) 343-7501 · Fax (208) 336-8248

Other Identifiers 1

Medicaid100088853WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, AvMed and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bradley Thomas Corbin 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 ID4284963802
PECOS Enrollment IDI20220829001104, I20250917000866
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Bradley Corbin reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obhg Wisconsin, S.C.
325 mi
Obstetrics & Gynecology
777 LOWNDES HILL RD BLDG 1
Greenville, SC 29607
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Obhg Wisconsin Sc
  • 58 clinicians in this Medicare group
NPI 1699273862 (864) 908-3530
Aurora Medical Group, Inc.
949 mi
Nurse Anesthetist, Certified Registered
3301 W FOREST HOME AVE
Milwaukee, WI 53215
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
NPI 1427271378 (877) 576-3544
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.
1,068 mi
Clinic/Center
272 CHRISTY ST
Amherst, WI 54406
  • Reassigned Medicare billing, Wisconsin enrollment
  • 935 clinicians in this Medicare group
NPI 1316616428 (715) 824-5151
St Lukes Clinic-Treasure Valley LLC
2,069 mi
Family Medicine
840 N 4TH E
Mountain Home, ID 83647
  • Reassigned Medicare billing, Idaho enrollment
  • 1,312 clinicians in this Medicare group
NPI 1417297821 (208) 587-1850

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

Aspirus Rhinelander Hospital

Acute Care Hospitals · Rhinelander, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520019
Location2251 North Shore DrRhinelander, WI 54501 · Oneida County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32073 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

HAESOOK MARINO M.D.
Obstetrics & Gynecology
1825 KINGSLEY AVE STE 390
ORANGE PARK, FL 32073
Clay County (904) 639-2260

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 Corbin's NPI number?

The NPI number for Bradley Corbin is 1104259548. It was assigned to this individual provider in the NPPES registry on August 20, 2013.

Where is Bradley Corbin located?

Bradley Corbin practices at 1825 Kingsley Ave Ste 390, Orange Park, FL 32073. The listed phone number is (904) 639-2260.

What is Bradley Corbin's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Bradley Corbin enrolled in Medicare?

Yes. Bradley Corbin 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.

Which organizations bill Medicare for Bradley Corbin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bradley Corbin reassigns Medicare benefits to 4 organizations: Obhg Wisconsin, S.C. (Greenville, SC), Aurora Medical Group, Inc. (Milwaukee, WI), Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (Amherst, WI) and St Lukes Clinic-Treasure Valley LLC (Mountain Home, ID). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bradley Corbin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bradley Corbin accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, AvMed, CareSource (Common Ground Healthcare) and HealthPartners and 4 other insurers list Bradley Corbin 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 Bradley Corbin affiliated with any hospitals?

According to CMS data, Bradley Corbin is affiliated with St Luke's Regional Medical Center and Aspirus Rhinelander Hospital.

When was this NPI record last updated?

The NPPES record for Bradley Corbin was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.