STEPHEN JEROME BRADLEY M.D.
NPI 1164455028
Surgery - Surgical Critical Care in Detroit, MI
NPI Status: Active since July 07, 2006
Contact Information
4160 JOHN R ST
STE 615
DETROIT, MI
ZIP 48201
Phone: (313) 745-4195
Fax: (313) 745-8669
- Individual
- Male
- Surgery
- Surgical Critical Care
- PECOS Enrolled
About STEPHEN BRADLEY
This page provides the complete NPI Profile along with additional information for Stephen Bradley, a provider established in Detroit, Michigan with a medical specialization in Surgery, focusing in surgical critical care . The healthcare provider is registered in the NPI registry with number 1164455028 assigned on July 2006. The practitioner's primary taxonomy code is 2086S0102X with license number 4301050040 (MI). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1164455028
- Provider Name
- STEPHEN JEROME BRADLEY M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4160 JOHN R ST STE 615 DETROIT, MI 48201
- Location Phone
- (313) 745-4195
- Location Fax
- (313) 745-8669
- Mailing Address
- 1560 E MAPLE RD SUITE 400 - CREDENTIALING DEPARTMENT TROY, MI 48083
- Mailing Phone
- (313) 745-4195
- Mailing Fax
- (313) 745-8669
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-07-2006
- Last Update Date
- 10-17-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery Surgical Critical Care
- Taxonomy Code
- 2086S0102X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 4301050040
- License State
- MI
- Taxonomy Description
- A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | 4301050040 (MI) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 904140 | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| 036078462 | MEDICAID (05) | IL | |
| 31523400 | MEDICAID (05) | WI | |
| 020017324 | OTHER (01) | RAILROAD MEDICARE | |
| E18284 | MEDICARE UPIN (02) |
Medicare Participation & PECOS Enrollment Status
Stephen Bradley is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1164455028, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 52 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
DETROIT, MI 48201
DETROIT, MI 48201
DETROIT, MI 48201
DETROIT, MI 48201
DETROIT, MI 48201
DETROIT, MI 48201
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164455028, enumerated as an "individual" on July 07, 2006.
The provider is located at 4160 JOHN R ST STE 615 DETROIT, MI 48201 and the phone number is (313) 745-4195.
Surgery with taxonomy code 2086S0102X and a focus in Surgical Critical Care.
The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to verify.
