MR. ROBBIE L BRADLEY PAC
NPI 1295890762
Family Medicine in Crystal River, FL

Q: What is Robbie Bradley's NPI number?

The NPI number for Robbie Bradley is 1295890762. It was assigned to this individual provider in the NPPES registry on December 26, 2006.

Q: What is Robbie Bradley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Robbie Bradley was last updated on August 10, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 26, 2006PECOS Enrolled

6199 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429(352) 795-0644(352) 795-2950 Get Directions Write a Review

NPPES record last updated: August 10, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mr. Robbie L Bradley Pac NPPES

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

MR. ROBBIE L BRADLEY PAC (NPI 1295890762) is an individual family medicine provider in Crystal River, Florida, licensed in Florida (PAC0001893) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295890762

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMR. ROBBIE L BRADLEYCredential: PAC

Location Address6199 W GULF TO LAKE HWYCrystal River, FL 34429-2679

Mailing Address6199 W Gulf To Lake HwyCrystal River, FL 34429-2679 · (352) 795-0644 · Fax (352) 795-2950

Phone(352) 795-0644

Fax(352) 795-2950

Sole ProprietorNo

Enumeration DateDecember 26, 2006

Last NPPES UpdateAugust 10, 2009

✔ NPI 1295890762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · PAC0001893

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6199 W GULF TO LAKE HWY, Crystal River, FL 34429

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Other Identifiers 3

Medicare UPINP01776

Medicaid290310500FL

Medicare ID-Type UnspecifiedE3793Z

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Robbie L Bradley Pac 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34429 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

11 suppliers42 claims94 services$6.63 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers27 claims33 services$1.10 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

1 supplier12 claims1,440 services$1.69 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

3 suppliers11 claims11 services$73.14 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

3 suppliers11 claims33 services$31.85 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

3 suppliers12 claims12 services$14.63 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

JIM C DICKERT DO

Family Medicine