BRADLEY COBB
NPI 1356907570
Family Medicine in Peoria, IL

Active since May 13, 2019PECOS EnrolledAccepts Medicare Assignment
815 MAIN ST STE C, PEORIA, IL 61602(309) 672-4977 Get Directions Write a Review

NPPES record last updated: July 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 26, 2021, Apr 13, 2021, May 13, 2019 (3 updates tracked since 2019).

About Bradley Cobb NPPES

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

BRADLEY COBB (NPI 1356907570) is an individual family medicine provider in Peoria, Illinois, licensed in Illinois (125.078853) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Proctor Hospital, and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1356907570
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBRADLEY COBB
Location Address815 MAIN ST STE CPeoria, IL 61602-1080
Mailing Address815 Main St Ste CPeoria, IL 61602-1080 · (309) 672-4977
Sole ProprietorYes
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2021
Enumeration DateMay 13, 2019
Last NPPES UpdateJuly 26, 20213 updates tracked since enumeration
NPPES CertifiedJuly 26, 2021
NPI 1356907570 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 IL · 125.078853
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.
815 MAIN ST STE C, Peoria, IL 61602

Secondary Practice Location 1

Location 1500 S Preston St Rm 305Louisville, KY 40202-1702 · Phone (502) 852-8696

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

Bradley Cobb 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 ID7810346269
PECOS Enrollment IDI20231211000735
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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
43 services35 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.
23 services21 patients

Hospital Affiliations CMS Care Compare 4

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

Proctor Hospital

Acute Care Hospitals · Peoria, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140013
Location5409 N Knoxville AvePeoria, IL 61614 · Peoria County
Emergency services

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Pekin Memorial Hospital

Acute Care Hospitals · Pekin, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140120
Location600 South 13th StreetPekin, IL 61554 · Tazewell County
Emergency services

Methodist Medical Center Of Illinois

Acute Care Hospitals · Peoria, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140209
Location221 N E Glen Oak AvePeoria, IL 61636 · Peoria County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61602 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Student in an Organized Health Care Education/Training Program
815 MAIN ST STE C
PEORIA, IL 61602
Student in an Organized Health Care Education/Training Program
815 MAIN ST STE C
PEORIA, IL 61602
Student in an Organized Health Care Education/Training Program
815 MAIN ST STE C
PEORIA, IL 61602
Family Medicine
815 MAIN ST STE C
PEORIA, IL 61602
Student in an Organized Health Care Education/Training Program
815 MAIN ST STE C
PEORIA, IL 61602
Family Medicine
815 MAIN ST STE C
PEORIA, IL 61602
Family Medicine
815 MAIN ST STE C
PEORIA, IL 61602
Family Medicine
815 MAIN ST STE C
PEORIA, IL 61602

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 Cobb's NPI number?

The NPI number for Bradley Cobb is 1356907570. It was assigned to this individual provider in the NPPES registry on May 13, 2019.

Where is Bradley Cobb located?

Bradley Cobb practices at 815 Main St Ste C, Peoria, IL 61602. The listed phone number is (309) 672-4977.

What is Bradley Cobb's specialty?

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

Is Bradley Cobb enrolled in Medicare?

Yes. Bradley Cobb is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Bradley Cobb affiliated with any hospitals?

According to CMS data, Bradley Cobb is affiliated with Proctor Hospital, Saint Francis Medical Center, Pekin Memorial Hospital and Methodist Medical Center Of Illinois.

When was this NPI record last updated?

The NPPES record for Bradley Cobb was last updated on July 26, 2021. 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.