SAMUEL WESLEY BRADLEY
NPI 1194456335
Emergency Medicine in Charleston, SC

Q: 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.

Q: What is Samuel Bradley's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: 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.

Active since June 20, 2022PECOS EnrolledAccepts Medicare Assignment

169 ASHLEY AVE RM 202, CHARLESTON, SC 29425(843) 792-1414 Get Directions Write a Review

NPPES record last updated: June 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

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

NPI1194456335

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameSAMUEL WESLEY BRADLEY

Location Address169 ASHLEY AVE RM 202Charleston, SC 29425-8900

Mailing Address169 Ashley Ave Rm 202Charleston, SC 29425-8905

Phone(843) 792-1414

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateJune 20, 2022

NPPES CertifiedMay 12, 2022

✔ NPI 1194456335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in SC · LL87697

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

169 ASHLEY AVE RM 202, Charleston, SC 29425

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

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.

PECOS PAC ID9032587696

PECOS Enrollment IDI20250624003264

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

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, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450718

Location2400 Round Rock AveRound Rock, TX 78681 · Williamson County

Emergency services Birthing friendly

Physician 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.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SANAA ABDELMAGEED MD

Surgery