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MR. BRADLEY P HEROLD PA-C
NPI 1457658791
Physician Assistant - Surgical in Derby, CT

Active since February 23, 2011PECOS EnrolledAccepts Medicare Assignment
130 DIVISION ST, DERBY, CT 06418(203) 735-7421 Get Directions Write a Review

NPPES record last updated: October 12, 2018. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Mr. Bradley P Herold Pa-c NPPES

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

MR. BRADLEY P HEROLD PA-C (NPI 1457658791) is an individual surgical provider in Derby, Connecticut, licensed in Connecticut (3050) and active in the NPI registry since February 2011. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Mercy Livingston Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1457658791
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. BRADLEY P HEROLDCredential: PA-C
Location Address130 DIVISION STDerby, CT 06418-1326
Mailing Address67 Maple AveDerby, CT 06418-1328 · (203) 732-1330 · Fax (203) 732-1332
Phone(203) 735-7421
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateFebruary 23, 2011
Last NPPES UpdateOctober 12, 2018
✔ NPI 1457658791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CT · 3050
130 DIVISION ST, Derby, CT 06418
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Mr. Bradley P Herold Pa-c 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 ID5890973218
PECOS Enrollment IDI20220309001092
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

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.

Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Saint Joseph Mercy Livingston Hospital

Acute Care Hospitals · Howell, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230069
Location620 Byron RdHowell, MI 48843 · Livingston County
Emergency services

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.

MRS. CHRISTINA ERNST MS,RD,CDN
Dietitian, Registered
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 732-7579
STACEY LEARY RD, CDN, CNSC
Dietitian, Registered
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 732-7585
DR. DWAYNE ALANSIER HALL DNP
Nurse Practitioner
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 735-7421
DR. SYBIL CHENG D.O.
Emergency Medicine (Emergency Medical Services)
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 732-7403
PETER J. INTEGLIA CRNA
Nurse Anesthetist, Certified Registered
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 735-6493
RORY V CONDON MSN, MA
Nurse Practitioner (Psychiatric/Mental Health)
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 887-0604
TRENT GARCIA MD
Student in an Organized Health Care Education/Training Program
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 735-7421
DOMENIC MICHAEL BIELLO JR. PHARMD
Pharmacist
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 732-7450

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 Herold's NPI number?

The NPI number for Bradley Herold is 1457658791. It was assigned to this individual provider in the NPPES registry on February 23, 2011.

Where is Bradley Herold located?

Bradley Herold practices at 130 Division St, Derby, CT 06418. The listed phone number is (203) 735-7421.

What is Bradley Herold's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Bradley Herold enrolled in Medicare?

Yes. Bradley Herold 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 Bradley Herold accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Bradley Herold 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.

Is Bradley Herold affiliated with any hospitals?

According to CMS data, Bradley Herold is affiliated with Saint Joseph Mercy Livingston Hospital.

When was this NPI record last updated?

The NPPES record for Bradley Herold was last updated on October 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.