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

Q: 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.

Q: What is Bradley Corbin's specialty?

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

Q: 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 8 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.

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: August 02, 2026.

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

On this page

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, and ordering and referring status from the CMS PECOS system.

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.

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 Interoperability

100

Improvement Activities

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.

What insurance does Bradley Corbin accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, AvMed, CareSource (Common Ground Healthcare) and Moda Health Plan, Inc. 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 8 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.