BRADFORD BENNETT JR. MD
NPI 1609308105
Radiology - Diagnostic Radiology in Fort Worth, TX
About Bradford Bennett Jr. Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRADFORD BENNETT JR. MD (NPI 1609308105) is an individual diagnostic radiology provider in Fort Worth, Texas, licensed in Texas (T9639) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Clark Regional Medical Center, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Bradford Bennett Jr. Md 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.
Medicare Billing Reassignments
34Medicare enrollment records show Bradford Bennett reassigns Medicare billing to 34 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Worth, TX 76107
- Reassigned Medicare billing, Texas and New Hampshire enrollments
- Also billed through NPI 1710970975 (New Hampshire)
- 445 clinicians in this Medicare group
Coleman, TX 76834
- Reassigned Medicare billing, Texas enrollment
- 27 clinicians in this Medicare group
Rotan, TX 79546
- Reassigned Medicare billing, Texas enrollment
- Also billed through NPI 1104808112 (Texas)
- 61 clinicians in this Medicare group
Junction, TX 76849
- Reassigned Medicare billing, Texas enrollment
- 26 clinicians in this Medicare group
Gonzales, TX 78629
- Reassigned Medicare billing, Texas enrollment
- 58 clinicians in this Medicare group
Pineland, TX 75968
- Reassigned Medicare billing, Texas enrollment
- 26 clinicians in this Medicare group
Stanton, TX 79782
- Reassigned Medicare billing, Texas enrollment
- 91 clinicians in this Medicare group
Lamesa, TX 79331
- Reassigned Medicare billing, Texas enrollment
- 28 clinicians in this Medicare group
Dimmitt, TX 79027
- Reassigned Medicare billing, Texas enrollment
- Also billed through NPI 1891828059 (Texas)
- 43 clinicians in this Medicare group
Meade, KS 67864
- Reassigned Medicare billing, Kansas enrollment
- Also billed through NPI 1922004076 (Kansas)
- 39 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 31
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Clark Regional Medical Center
Acute Care Hospitals · Winchester, KYBay Area Hospital
Acute Care Hospitals · Coos Bay, ORTristar Skyline Medical Center
Acute Care Hospitals · Nashville, TNTristar Northcrest Medical Center
Acute Care Hospitals · Springfield, TNThomas Memorial Hospital
Acute Care Hospitals · South Charleston, WVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
FORT WORTH, TX 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
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 Bradford Bennett's NPI number?
The NPI number for Bradford Bennett is 1609308105. It was assigned to this individual provider in the NPPES registry on April 3, 2017.
Where is Bradford Bennett located?
Bradford Bennett practices at 815 Pennsylvania Ave, Fort Worth, TX 76104. The listed phone number is (817) 321-0404.
What is Bradford Bennett's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Bradford Bennett enrolled in Medicare?
Yes. Bradford Bennett 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.
Which organizations bill Medicare for Bradford Bennett's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bradford Bennett reassigns Medicare benefits to 34 organizations: Radiology Associates Of North Texas, PA (Fort Worth, TX), Preferred Hospital Leasing Coleman, Inc. (Coleman, TX), Fisher County Hospital District (Rotan, TX), Preferred Hospital Leasing Junction, Inc (Junction, TX), Gonzales Healthcare Systems (Gonzales, TX) and 29 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bradford Bennett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bradford Bennett accept?
Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Texas and CareSource and 6 other insurers list Bradford Bennett 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 Bradford Bennett affiliated with any hospitals?
According to CMS data, Bradford Bennett is affiliated with Clark Regional Medical Center, Bay Area Hospital, Tristar Skyline Medical Center, Tristar Northcrest Medical Center and Thomas Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Bradford Bennett was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Bradford Bennett Jr., MD · NPI 1609308105
Diagnostic Radiology physician in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since April 3, 2017.
## Identity
- **NPI:** 1609308105 (Entity type: Individual)
- **Enumerated:** April 3, 2017
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** T9639 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 815 PENNSYLVANIA AVE, Fort Worth, TX 76104-2224
- **Phone:** (817) 321-0404
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 34 organizations under Medicare reassignment (form CMS-855R): Radiology Associates Of North Texas, PA (NPI 1861782740, Fort Worth, TX); Preferred Hospital Leasing Coleman, Inc. (NPI 1275938714, Coleman, TX); Fisher County Hospital District (NPI 1598746703, Rotan, TX); Preferred Hospital Leasing Junction, Inc (NPI 1578729653, Junction, TX); Gonzales Healthcare Systems (NPI 1013916287, Gonzales, TX); and 29 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** May 12, 2026
- **Other identifiers:** Medicaid 9000254978 (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1609308105) · Data from the CMS NPPES public registry.