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STEPHEN PETER BRADLEY MD
NPI 1699746446
Family Medicine - Addiction Medicine in Lakeport, CA

Active since January 30, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 05D0863464 · Waiver
78.28/100
CMS Quality Rating
5375 LAKESHORE BLVD, LAKEPORT, CA 95453(707) 263-5679(707) 263-7781 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 12, 2022, Aug 10, 2022, Nov 5, 2019 (3 updates tracked since 2019).

About Stephen Peter Bradley Md NPPES

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

STEPHEN PETER BRADLEY MD (NPI 1699746446) is an individual addiction medicine provider in Lakeport, California, licensed in California (C41489) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 31, 2026, and is a graduate of Other (1977).

NPPES Registry Identity

NPI1699746446
Entity TypeIndividualMale
Primary Taxonomy207QA0401X
Provider Legal NameSTEPHEN PETER BRADLEYCredential: MD
Location Address5375 LAKESHORE BLVDLakeport, CA 95453-6123
Mailing Address5375 Lakeshore BlvdLakeport, CA 95453-6123 · (707) 263-5679 · Fax (707) 263-7781
Phone(707) 263-5679
Fax(707) 263-7781
Sole ProprietorYes
Medical School CMSOtherGraduated 1977
Enumeration DateJanuary 30, 2006
Last NPPES UpdateSeptember 12, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2022
✔ NPI 1699746446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in CA · C41489
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedSurgeryTaxonomy 208600000X · License C41489 (CA)
Also ListedGeneral PracticeTaxonomy 208D00000X · License C41489 (CA)
5375 LAKESHORE BLVD, Lakeport, CA 95453
Open in Google Maps ↗

Other Identifiers 1

Medicaid00C414890CA

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

Stephen Peter Bradley 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.

PECOS PAC ID6002956810
PECOS Enrollment IDI20091229000338
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0863464

Stephen P Bradley, MD · Lakeport, CA
Active · expires Aug 31, 2026
CLIA Number05D0863464
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorStephen P. Bradley MD
Laboratory Phone(707) 263-5679
Laboratory LocationStephen P Bradley, MD5375 Lakeshore Blvd, Lakeport, CA 95453
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
162 services71 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
135 services41 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
102 services19 patients
Smoking and tobacco use intensive counseling, more than 10 minutes 99407
This service involves an in-depth discussion about the risks of smoking and tobacco use, spanning over 10 minutes. It provides personalized strategies to quit smoking, including coping techniques for withdrawal symptoms and triggers. The goal is to support your journey towards a healthier lifestyle.
85 services19 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
54 services54 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95453 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

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.

78.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.31
Promoting Interoperability93
Improvement Activities40
Cost45.47

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 Stephen Bradley's NPI number?

The NPI number for Stephen Bradley is 1699746446. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Stephen Bradley located?

Stephen Bradley practices at 5375 Lakeshore Blvd, Lakeport, CA 95453. The listed phone number is (707) 263-5679.

What is Stephen Bradley's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Stephen Bradley enrolled in Medicare?

Yes. Stephen 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.

Does Stephen Bradley hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0863464) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Stephen Bradley was last updated on September 12, 2022. 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.