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

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: July 19, 2026.

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

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
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

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

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 2024 & 2026 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.

Nurse Practitioner (Family)
559 W WASHINGTON ST
BURNS, OR 97720
Family Medicine
559 W WASHINGTON ST
BURNS, OR 97720
Clinic/Center (Physical Therapy)
559 W WASHINGTON ST
BURNS, OR 97720
Family Medicine
559 W WASHINGTON ST
BURNS, OR 97720
Family Medicine
559 W WASHINGTON ST
BURNS, OR 97720
Obstetrics & Gynecology
559 W WASHINGTON ST
BURNS, OR 97720
Community Health Worker
559 W WASHINGTON ST
BURNS, OR 97720
Dietitian, Registered
559 W WASHINGTON ST
BURNS, OR 97720

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235465147, enumerated as an "individual" on October 27, 2009.

The provider is located at 559 W WASHINGTON ST BURNS, OR 97720 and the phone number is (541) 573-2074.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Blue Cross Blue Shield of Wyoming, PacificSource. Please consult your insurance carrier or call the provider to verify.

Bradley Mangum is affiliated with: SAGEWEST HEALTH CARE and STAR VALLEY MEDICAL CENTER.