DR. LISA ANN WHITTY BRADLEY MD
NPI 1801808662
Surgery - Plastic and Reconstructive Surgery in Munster, IN
NPI Status: Active since August 12, 2006
Contact Information
7905 CALUMET AVE
MUNSTER, IN
ZIP 46321
Phone: (219) 836-7506
- Individual
- Female
- Surgery
- Plastic and Reconstructive Surgery
- PECOS Enrolled
About LISA WHITTY BRADLEY
This page provides the complete NPI Profile along with additional information for Lisa Whitty Bradley, a provider established in Munster, Indiana with a medical specialization in Surgery, focusing in plastic and reconstructive surgery . The healthcare provider is registered in the NPI registry with number 1801808662 assigned on August 2006. The practitioner's primary taxonomy code is 2086S0122X with license number 01079522A (IN). The provider is registered as an individual and her NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.
- NPI
- 1801808662
- Provider Name
- DR. LISA ANN WHITTY BRADLEY MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 7905 CALUMET AVE MUNSTER, IN 46321
- Location Phone
- (219) 836-7506
- Mailing Address
- PO BOX 781076 DETROIT, MI 48278
- Mailing Phone
- (317) 528-4800
- Mailing Fax
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-12-2006
- Last Update Date
- 03-16-2021
- Code Navigator
Location Map
Secondary Locations
- 3601 SW 160th Ave SUITE 250
Miramar, FL 33027
(877) 866-7123
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery Plastic and Reconstructive Surgery
- Taxonomy Code
- 2086S0122X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 01079522A
- License State
- IN
- Taxonomy Description
- A surgeon who specializes in plastic and reconstructive surgery.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208200000X | Allopathic & Osteopathic Physicians | Plastic Surgery | 01079522B (IN) |
| 2 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | 01079522A (IN) |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0361102441 | MEDICAID (05) | IL | |
| 7215166 | OTHER (01) | IL | BCBS |
Medicare Participation & PECOS Enrollment Status
Lisa Whitty Bradley is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1801808662, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
MUNSTER, IN 46321
MUNSTER, IN 46321
MUNSTER, IN 46321
MUNSTER, IN 46321
MUNSTER, IN 46321
MUNSTER, IN 46321
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801808662, enumerated as an "individual" on August 12, 2006.
The provider is located at 7905 CALUMET AVE MUNSTER, IN 46321 and the phone number is (219) 836-7506.
Surgery with taxonomy code 2086S0122X and a focus in Plastic and Reconstructive Surgery.
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.
