STEPHEN JEROME BRADLEY M.D.
NPI 1164455028
Surgery - Surgical Critical Care in Detroit, MI

Active since July 07, 2006PECOS Enrolled
4160 JOHN R ST, STE 615, DETROIT, MI 48201(313) 745-4195(313) 745-8669 Get Directions Write a Review

NPPES record last updated: October 17, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephen Jerome Bradley M.d. NPPES

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

STEPHEN JEROME BRADLEY M.D. (NPI 1164455028) is an individual surgical critical care provider in Detroit, Michigan, licensed in Michigan (4301050040) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164455028
Entity TypeIndividualMale
Primary Taxonomy2086S0102X
Provider Legal NameSTEPHEN JEROME BRADLEYCredential: M.D.
Location Address4160 JOHN R ST, STE 615Detroit, MI 48201-2020
Mailing Address1560 E Maple Rd, Suite 400 - Credentialing DepartmentTroy, MI 48083-1138 · (313) 745-4195 · Fax (313) 993-8669
Fax(313) 745-8669
Sole ProprietorNo
Enumeration DateJuly 7, 2006
Last NPPES UpdateOctober 17, 2016
NPI 1164455028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License Licensed in MI · 4301050040
Definition
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.
Also ListedSurgeryTaxonomy 208600000X · License 4301050040 (MI)
4160 JOHN R ST, Detroit, MI 48201

Other Identifiers 5

Medicare ID-Type Unspecified904140
Medicaid036078462IL
Medicaid31523400WI
Other020017324Railroad Medicare
Medicare UPINE18284

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Stephen Jerome Bradley M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

Psychiatry & Neurology (Neurology)
4160 JOHN R ST
DETROIT, MI 48201
Surgery
4160 JOHN R ST, SUITE 615
DETROIT, MI 48201
Internal Medicine (Clinical Cardiac Electrophysiology)
4160 JOHN R ST, SUITE 510
DETROIT, MI 48201
Specialist
4160 JOHN R ST, SUITE 515
DETROIT, MI 48201
Audiologist
4160 JOHN R ST
DETROIT, MI 48201
Nurse Practitioner
4160 JOHN R ST, SUITE 917
DETROIT, MI 48201
Surgery
4160 JOHN R ST, STE 615
DETROIT, MI 48201
Internal Medicine (Nephrology)
4160 JOHN R ST, HARPER PROFESSIONAL BLDG STE 917
DETROIT, MI 48201

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 Stephen Bradley's NPI number?

The NPI number for Stephen Bradley is 1164455028. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Stephen Bradley located?

Stephen Bradley practices at 4160 John R St Ste 615, Detroit, MI 48201. The listed phone number is (313) 745-4195.

What is Stephen Bradley's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Stephen Bradley enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Stephen Bradley was last updated on October 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.