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DR. JESSE H. BRADLEY JR. D.P.M.
NPI 1114160389
Podiatrist - Foot & Ankle Surgery in West Memphis, AR

Active since April 16, 2009PECOS EnrolledAccepts Medicare Assignment
116 W TYLER AVE, SUITE B, WEST MEMPHIS, AR 72301(870) 733-0888(870) 733-0889 Get Directions Write a Review

NPPES record last updated: July 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 22, 2020, Dec 20, 2016, Jul 14, 2016 (3 updates tracked since 2016).

About Dr. Jesse H. Bradley Jr. D.p.m. NPPES

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

DR. JESSE H. BRADLEY JR. D.P.M. (NPI 1114160389) is an individual foot & ankle surgery provider in West Memphis, Arkansas, licensed in Arkansas (242) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS and is a graduate of Kent State University College Of Podiatric Medicine (2006).

NPPES Registry Identity

NPI1114160389
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. JESSE H. BRADLEY JR.Credential: D.P.M.
Location Address116 W TYLER AVE, SUITE BWest Memphis, AR 72301-4221
Mailing AddressPo Box 1752West Memphis, AR 72303-1752 · (870) 733-0888 · Fax (870) 733-0889
Phone(870) 733-0888
Fax(870) 733-0889
Sole ProprietorYes
Medical School CMSKent State University College Of Podiatric MedicineGraduated 2006
Enumeration DateApril 16, 2009
Last NPPES UpdateJuly 22, 20203 updates tracked since enumeration
NPPES CertifiedJuly 22, 2020
✔ NPI 1114160389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Licenses✔ Licensed in AR · 242✔ Licensed in TN · 695✔ Licensed in MO · 2007024292✔ Licensed in MS · 80197
116 W TYLER AVE, West Memphis, AR 72301
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Other Identifiers 3

Medicaid180310717AR
Medicaid199945716AR
Medicaid180372748AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.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

Dr. Jesse H. Bradley Jr. D.p.m. 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 ID8527110410
PECOS Enrollment IDI20091022000370
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 Reassignment

Medicare enrollment records show Jesse Bradley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bradley Footcare LLC
Same address
Foot & Ankle Surgery
116 W TYLER AVE STE B
West Memphis, AR 72301
  • Reassigned Medicare billing, Arkansas enrollment
NPI 1477881092 (870) 733-0888

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

Areas of Expertise CMS Part B claims 8

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.

Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
253 services151 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
226 services131 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
194 services194 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
186 services100 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
48 services26 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
23 services17 patients

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 Jesse Bradley's NPI number?

The NPI number for Jesse Bradley is 1114160389. It was assigned to this individual provider in the NPPES registry on April 16, 2009.

Where is Jesse Bradley located?

Jesse Bradley practices at 116 W Tyler Ave Suite B, West Memphis, AR 72301. The listed phone number is (870) 733-0888.

What is Jesse Bradley's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Jesse Bradley enrolled in Medicare?

Yes. Jesse Bradley 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 organization bills Medicare for Jesse Bradley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jesse Bradley reassigns Medicare benefits to Bradley Footcare LLC (West Memphis, AR). The 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 Jesse Bradley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jesse Bradley accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Jesse Bradley 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.

When was this NPI record last updated?

The NPPES record for Jesse Bradley was last updated on July 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.