RICKEY LEE BRADLEY D.O.
NPI 1700877735
Family Medicine in Beckley, WV
About Rickey Lee Bradley D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RICKEY LEE BRADLEY D.O. (NPI 1700877735) is an individual family medicine provider in Beckley, West Virginia, licensed in West Virginia (1741) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rickey Lee Bradley D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Rickey Bradley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
- Reassigned Medicare billing, West Virginia enrollment
- 207 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 25801 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 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BECKLEY, WV 25801
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 Rickey Bradley's NPI number?
The NPI number for Rickey Bradley is 1700877735. It was assigned to this individual provider in the NPPES registry on October 31, 2005.
Where is Rickey Bradley located?
Rickey Bradley practices at 4130 Robert C Byrd Dr, Beckley, WV 25801. The listed phone number is (304) 252-3900.
What is Rickey Bradley's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Rickey Bradley enrolled in Medicare?
Yes. Rickey Bradley is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Rickey Bradley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rickey Bradley reassigns Medicare benefits to Greenbrier Emergency Services, Inc. (WV). The 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 Rickey Bradley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Rickey Bradley was last updated on November 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.