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MR. BRADLEY ALLAN MAHONEY DO
NPI 1770424707
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since April 03, 2026PECOS Enrolled
LEGACY GOOD SAMARITAN MEDICAL CENTER- GME 1015 NW 22ND, PORTLAND, OR 97210(503) 413-7711 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Bradley Allan Mahoney Do NPPES

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

MR. BRADLEY ALLAN MAHONEY DO (NPI 1770424707) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770424707
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. BRADLEY ALLAN MAHONEYCredential: DO
Location AddressLEGACY GOOD SAMARITAN MEDICAL CENTER- GME 1015 NW 22NDPortland, OR 97210
Mailing AddressLegacy Good Samaritan Medical Center- Gme 1015 Nw 22ndPortland, OR 97210 · (503) 413-7711
Phone(503) 413-7711
Sole ProprietorNo
Enumeration DateApril 3, 2026
NPPES CertifiedMarch 27, 2026
✔ NPI 1770424707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
LEGACY GOOD SAMARITAN MEDICAL CENTER- GME 1015 NW 22ND, Portland, OR 97210
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Bradley Allan Mahoney Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MICHAEL JOSEPH DICKENS II
Student in an Organized Health Care Education/Training Program
LEGACY GOOD SAMARITAN MEDICAL CENTER- GME 1015 NW 22ND
PORTLAND, OR 97210
Multnomah County (503) 413-7711
SKYLER ALLAN MUCHMORE
Student in an Organized Health Care Education/Training Program
LEGACY GOOD SAMARITAN MEDICAL CENTER- GME 1015 NW 22ND
PORTLAND, OR 97210
Multnomah County (503) 413-7711
OJAS CHINCHWADKAR MD
Student in an Organized Health Care Education/Training Program
LEGACY GOOD SAMARITAN MEDICAL CENTER- GME 1015 NW 22ND
PORTLAND, OR 97210
Multnomah County (503) 413-7711

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 Mahoney's NPI number?

The NPI number for Bradley Mahoney is 1770424707. It was assigned to this individual provider in the NPPES registry on April 3, 2026.

Where is Bradley Mahoney located?

Bradley Mahoney practices at Legacy Good Samaritan Medical Center- Gme 1015 NW 22nd, Portland, OR 97210. The listed phone number is (503) 413-7711.

What is Bradley Mahoney's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Bradley Mahoney enrolled in Medicare?

Yes. Bradley Mahoney is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bradley Mahoney was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.