DR. BRADLEY R DOLES D.O.
NPI 1366685943
Pediatrics - Neonatal-Perinatal Medicine in San Antonio, TX

Q: What is Bradley Doles's NPI number?

The NPI number for Bradley Doles is 1366685943. It was assigned to this individual provider in the NPPES registry on April 13, 2009.

Q: What is Bradley Doles's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Bradley Doles was last updated on July 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 April 13, 2009PECOS Enrolled

5430 FREDERICKSBURG RD STE 508, SAN ANTONIO, TX 78229(210) 541-8281(210) 541-9123 Get Directions Write a Review

NPPES record last updated: July 28, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 28, 2020, Jan 7, 2019, Sep 5, 2018 (3 updates tracked since 2018).

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About Dr. Bradley R Doles D.o. NPPES

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

DR. BRADLEY R DOLES D.O. (NPI 1366685943) is an individual neonatal-perinatal medicine provider in San Antonio, Texas, licensed in Texas (S4754) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366685943

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameDR. BRADLEY R DOLESCredential: D.O.

Location Address5430 FREDERICKSBURG RD STE 508San Antonio, TX 78229-3561

Mailing Address5430 Fredericksburg Rd Ste 508San Antonio, TX 78229-3561 · (210) 541-8281 · Fax (210) 541-9123

Phone(210) 541-8281

Fax(210) 541-9123

Sole ProprietorNo

Enumeration DateApril 13, 2009

Last NPPES UpdateJuly 28, 20203 updates tracked since enumeration

NPPES CertifiedJuly 28, 2020

✔ NPI 1366685943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

Licenses✔ Licensed in TX · S4754✔ Licensed in NE · 765✔ Licensed in MD · H86254

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedPediatricsTaxonomy 208000000X · License 765 (NE)

5430 FREDERICKSBURG RD STE 508, San Antonio, TX 78229

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sendero Health Plans, Local Nonprofit, WellPoint.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bradley R Doles D.o. 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.

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.

KATHLEEN MARIE MCINNIS NNP

Nurse Practitioner (Neonatal)