SAMUEL WESLEY BRADLEY
NPI 1194456335
Emergency Medicine in Charleston, SC
About Samuel Wesley Bradley NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL WESLEY BRADLEY (NPI 1194456335) is an individual emergency medicine provider in Charleston, South Carolina, licensed in South Carolina (LL87697) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Round Rock Medical Center, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Samuel Wesley Bradley 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.
Medicare Billing Reassignment
Medicare enrollment records show Samuel Bradley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Austin, TX 78705
- Reassigned Medicare billing, Texas enrollment
- 547 clinicians in this Medicare group
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Round Rock Medical Center
Acute Care Hospitals · Round Rock, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29425 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CHARLESTON, SC 29425
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 Samuel Bradley's NPI number?
The NPI number for Samuel Bradley is 1194456335. It was assigned to this individual provider in the NPPES registry on June 20, 2022.
Where is Samuel Bradley located?
Samuel Bradley practices at 169 Ashley Ave Rm 202, Charleston, SC 29425. The listed phone number is (843) 792-1414.
What is Samuel Bradley's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Samuel Bradley enrolled in Medicare?
Yes. Samuel 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 Samuel Bradley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Bradley reassigns Medicare benefits to Longhorn Emergency Medical Associates PA (Austin, TX). 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 Samuel Bradley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samuel Bradley accept?
Health plans from Blue Cross and Blue Shield of Texas list Samuel 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.
Is Samuel Bradley affiliated with any hospitals?
According to CMS data, Samuel Bradley is affiliated with Round Rock Medical Center.
When was this NPI record last updated?
The NPPES record for Samuel Bradley was last updated on June 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Samuel Wesley Bradley · NPI 1194456335
Emergency Medicine physician in Charleston, South Carolina. Individual provider, active in the CMS NPPES registry since June 20, 2022.
## Identity
- **NPI:** 1194456335 (Entity type: Individual)
- **Enumerated:** June 20, 2022
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** LL87697 (South Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 169 ASHLEY AVE RM 202, Charleston, SC 29425-8900
- **Phone:** (843) 792-1414
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Longhorn Emergency Medical Associates PA (NPI 1649669672, Austin, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** June 20, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1194456335) · Data from the CMS NPPES public registry.