BRADLEY BOMBA
NPI 1356957591
Nurse Practitioner in Victoria, TX

Q: What is Bradley Bomba's NPI number?

The NPI number for Bradley Bomba is 1356957591. It was assigned to this individual provider in the NPPES registry on September 22, 2020.

Q: What is Bradley Bomba's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Bradley Bomba was last updated on February 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 September 22, 2020PECOS EnrolledAccepts Medicare Assignment

2701 HOSPITAL DR, VICTORIA, TX 77901(361) 573-9181 Get Directions Write a Review

NPPES record last updated: February 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 4, 2023, Mar 1, 2021, Sep 22, 2020 (3 updates tracked since 2020).

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About Bradley Bomba NPPES

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

BRADLEY BOMBA (NPI 1356957591) is an individual nurse practitioner in Victoria, Texas, licensed in Texas (1031296) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS, is affiliated with Citizens Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1356957591

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameBRADLEY BOMBA

Location Address2701 HOSPITAL DRVictoria, TX 77901-5748

Mailing Address2701 Hospital Dr Ste 114Victoria, TX 77901-5748 · (361) 582-7999

Phone(361) 573-9181

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateSeptember 22, 2020

Last NPPES UpdateFebruary 4, 20233 updates tracked since enumeration

NPPES CertifiedApril 2, 2021

✔ NPI 1356957591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TX · 1031296

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2701 HOSPITAL DR, Victoria, TX 77901

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Other Identifiers 1

Other770765TX · Texas Bon

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 Bomba 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 ID9032642822

PECOS Enrollment IDI20241031004006

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.

Hospital Affiliations CMS Care Compare 2

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

Citizens Medical Center

Acute Care Hospitals · Victoria, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number450023

Location2701 Hospital DriveVictoria, TX 77901 · Victoria County

Emergency services Birthing friendly

De Tar Hospital Navarro

Acute Care Hospitals · Victoria, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450147

Location506 E San Antonio StVictoria, TX 77901 · Victoria County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77901 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

INDRANI DORAI SWAMI M.D.

Anesthesiology