BRADLEY DOUGLAS HAYNES DO
NPI 1801424981
Student in an Organized Health Care Education/Training Program in Saint Louis, MO
About Bradley Douglas Haynes Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRADLEY DOUGLAS HAYNES DO (NPI 1801424981) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2020).
NPPES Registry Identity
Specialties & Licenses
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
Bradley Douglas Haynes Do 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 Reassignment
Medicare enrollment records show Bradley Haynes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 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.
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.
SAINT LOUIS, MO 63104
SAINT LOUIS, MO 63104
SAINT LOUIS, MO 63104
SAINT LOUIS, MO 63104
SAINT LOUIS, MO 63104
SAINT LOUIS, MO 63104
SAINT LOUIS, MO 63104
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 Haynes's NPI number?
The NPI number for Bradley Haynes is 1801424981. It was assigned to this individual provider in the NPPES registry on April 1, 2020.
Where is Bradley Haynes located?
Bradley Haynes practices at 1402 S Grand Blvd # M260, Saint Louis, MO 63104. The listed phone number is (314) 268-7274.
What is Bradley Haynes'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 Haynes enrolled in Medicare?
Yes. Bradley Haynes 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 organization bills Medicare for Bradley Haynes's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bradley Haynes reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). 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 Bradley Haynes'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 Bradley Haynes was last updated on April 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Bradley Douglas Haynes, DO · NPI 1801424981
Student in an Organized Health Care Education/Training Program provider in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since April 1, 2020.
## Identity
- **NPI:** 1801424981 (Entity type: Individual)
- **Enumerated:** April 1, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1402 S GRAND BLVD # M260, Saint Louis, MO 63104-1004
- **Phone:** (314) 268-7274
## 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:** Permanente Medical Group Inc (NPI 1548343510, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Kansas City University Of Med & Biosciences, College Of Osteo Med, class of 2020
## Record status
- **NPPES last updated:** April 1, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1801424981) · Data from the CMS NPPES public registry.