DR. BRADLEY DEE MANGUM FNP-BC, DC
NPI 1235465147
Nurse Practitioner - Family in Burns, OR

Q: What is Bradley Mangum's NPI number?

The NPI number for Bradley Mangum is 1235465147. It was assigned to this individual provider in the NPPES registry on October 27, 2009.

Q: What is Bradley Mangum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Bradley Mangum was last updated on December 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 October 27, 2009PECOS EnrolledAccepts Medicare Assignment

559 W WASHINGTON ST, BURNS, OR 97720(541) 573-2074 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2020, Mar 15, 2017 (2 updates tracked since 2017).

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About Dr. Bradley Dee Mangum Fnp-bc, Dc NPPES

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

DR. BRADLEY DEE MANGUM FNP-BC, DC (NPI 1235465147) is an individual family provider in Burns, Oregon, licensed in Idaho (1573A) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS, is affiliated with Sagewest Health Care, and maintains a secondary practice location in Gooding.

NPPES Registry Identity

NPI1235465147

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameDR. BRADLEY DEE MANGUMCredential: FNP-BC, DC

Location Address559 W WASHINGTON STBurns, OR 97720-1441

Mailing Address559 W Washington StBurns, OR 97720-1441 · (541) 573-2074

Phone(541) 573-2074

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateOctober 27, 2009

Last NPPES UpdateDecember 3, 20202 updates tracked since enumeration

NPPES CertifiedDecember 3, 2020

✔ NPI 1235465147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in ID · 1573A

559 W WASHINGTON ST, Burns, OR 97720

Open in Google Maps ↗

Secondary Practice Location 1

Location 1267 N Canyon Dr, Medical PlazaGooding, ID 83330-5500 · Phone (208) 934-4446 · Fax (208) 934-4442

Other Identifiers 1

Medicaid500763900OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, PacificSource Health Plans, Select Health.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

Dr. Bradley Dee Mangum Fnp-bc, Dc 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 ID5092845883

PECOS Enrollment IDI20130214000449

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.

Areas of Expertise CMS Part B claims 5

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

397 services46 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.

176 services65 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

81 services29 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.

49 services49 patients

X-ray of lower and sacral spine, minimum of 4 views 72110

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sagewest Health Care

Acute Care Hospitals · Riverton, WY

1/5 CMS rating

OwnershipProprietary

CMS Certification Number530008

Location2100 W Sunset DrRiverton, WY 82501 · Fremont County

Emergency services

Star Valley Medical Center

Critical Access Hospitals · Afton, WY

OwnershipGovernment - Hospital District or Authority

CMS Certification Number531313

Location901 Adams StreetAfton, WY 83110 · Lincoln County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97720 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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 18

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

JOLENE CAWLFIELD FNP

Nurse Practitioner (Family)