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BRADLEY REX SHUMWAY D.O.
NPI 1346652864
Family Medicine in Mesa, AZ

Active since June 02, 2014Opted out of Medicare · through Oct 30, 2026
4447 E BROADWAY RD STE 107, MESA, AZ 85206(480) 550-9610(480) 500-6856 Get Directions Write a Review

NPPES record last updated: January 14, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bradley Rex Shumway D.o. NPPES

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

BRADLEY REX SHUMWAY D.O. (NPI 1346652864) is an individual family medicine provider in Mesa, Arizona, licensed in Arizona (006808) and active in the NPI registry since June 2014. He has opted out of Medicare through October 30, 2026 and remains eligible to order and refer and maintains a secondary practice location in Scottsdale.

NPPES Registry Identity

NPI1346652864
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBRADLEY REX SHUMWAYCredential: D.O.
Location Address4447 E BROADWAY RD STE 107Mesa, AZ 85206-2018
Mailing Address4447 E Broadway Rd Ste 107Mesa, AZ 85206-2018 · (480) 550-9610 · Fax (480) 500-6856
Phone(480) 550-9610
Fax(480) 500-6856
Sole ProprietorYes
Enumeration DateJune 2, 2014
Last NPPES UpdateJanuary 14, 2020
✔ NPI 1346652864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 006808
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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4447 E BROADWAY RD STE 107, Mesa, AZ 85206
Open in Google Maps ↗

Secondary Practice Location 1

Location 17301 E 2nd St, Ste. 210Scottsdale, AZ 85251-5600 · Phone (480) 882-4545 · Fax (480) 946-6697

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Bradley Rex Shumway D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 30, 2020 through October 30, 2026.

Opt-Out Effective DateOctober 30, 2020
Opt-Out In Effect ThroughOctober 30, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85206 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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 Bradley Shumway's NPI number?

The NPI number for Bradley Shumway is 1346652864. It was assigned to this individual provider in the NPPES registry on June 2, 2014.

Where is Bradley Shumway located?

Bradley Shumway practices at 4447 E Broadway Rd Ste 107, Mesa, AZ 85206. The listed phone number is (480) 550-9610.

What is Bradley Shumway's specialty?

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

Is Bradley Shumway enrolled in Medicare?

No. Bradley Shumway has opted out of Medicare through October 30, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Bradley Shumway was last updated on January 14, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.