DR. JERRY ALLEN BRADLEY JR. MD, EDD, MDIV
NPI 1376882563
Family Medicine - Geriatric Medicine in Mobile, AL

Active since February 07, 2013PECOS EnrolledAccepts Medicare Assignment
575 STANTON RD, MOBILE, AL 36617(251) 471-7207(251) 471-7207 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2025, Apr 6, 2023, Apr 23, 2022 and 4 more (7 updates tracked since 2016).

About Dr. Jerry Allen Bradley Jr. Md, Edd, Mdiv NPPES

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

DR. JERRY ALLEN BRADLEY JR. MD, EDD, MDIV (NPI 1376882563) is an individual geriatric medicine provider in Mobile, Alabama, licensed in Alabama (MD.34716) and active in the NPI registry since February 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1376882563
Entity TypeIndividualMale
Primary Taxonomy207QG0300X
Provider Legal NameDR. JERRY ALLEN BRADLEY JR.Credential: MD, EDD, MDIV
Location Address575 STANTON RDMobile, AL 36617-2344
Mailing AddressPo Box 746450Atlanta, GA 30374-6450 · (866) 401-3057 · Fax (318) 868-6430
Fax(251) 471-7207
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateFebruary 7, 2013
Last NPPES UpdateJune 16, 20257 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
NPI 1376882563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License Licensed in AL · MD.34716
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Also ListedFamily Medicine · Hospice and Palliative MedicineTaxonomy 207QH0002X · License MD.34716 (AL)
575 STANTON RD, Mobile, AL 36617

Accepted Insurance

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

Dr. Jerry Allen Bradley Jr. Md, Edd, Mdiv 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 ID1658660816
PECOS Enrollment IDI20250723000053
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 36617 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Physician Assistant
575 STANTON RD
MOBILE, AL 36617
Internal Medicine
575 STANTON RD
MOBILE, AL 36617
Nurse Practitioner (Family)
575 STANTON RD
MOBILE, AL 36617
Internal Medicine
575 STANTON RD
MOBILE, AL 36617
Internal Medicine
575 STANTON RD
MOBILE, AL 36617
Nurse Practitioner (Acute Care)
575 STANTON RD
MOBILE, AL 36617
Internal Medicine
575 STANTON RD
MOBILE, AL 36617
Hospitalist
575 STANTON RD
MOBILE, AL 36617

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 Jerry Bradley's NPI number?

The NPI number for Jerry Bradley is 1376882563. It was assigned to this individual provider in the NPPES registry on February 7, 2013.

Where is Jerry Bradley located?

Jerry Bradley practices at 575 Stanton Rd, Mobile, AL 36617. The listed phone number is (251) 471-7207.

What is Jerry Bradley's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Jerry Bradley enrolled in Medicare?

Yes. Jerry Bradley 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.

What insurance does Jerry Bradley accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Jerry Bradley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jerry Bradley was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.