BRADLEY WILLIAM BAUER M.D.
NPI 1821521352
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since April 11, 2017PECOS Enrolled
100/100
CMS Quality Rating
111 E 210TH ST, BRONX, NY 10467(718) 920-6097 Get Directions Write a Review

NPPES record last updated: April 11, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bradley William Bauer M.d. NPPES

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

BRADLEY WILLIAM BAUER M.D. (NPI 1821521352) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1821521352
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRADLEY WILLIAM BAUERCredential: M.D.
Location Address111 E 210TH STBronx, NY 10467-2401
Mailing Address111 E 210th StBronx, NY 10467-2401
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 11, 2017
NPI 1821521352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
111 E 210TH ST, Bronx, NY 10467

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Bradley William Bauer M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517384340
PECOS Enrollment IDI20200825003034
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

Pediatrics (Pediatric Cardiology)
111 E 210TH ST, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467
Pediatrics (Adolescent Medicine)
111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467
Internal Medicine (Infectious Disease)
111 E 210TH ST
BRONX, NY 10467
Radiology (Diagnostic Neuroimaging)
111 E 210TH ST
BRONX, NY 10467
Psychiatry & Neurology (Neurology)
111 E 210TH ST
BRONX, NY 10467
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Nurse Practitioner (Family)
111 E 210TH ST
BRONX, NY 10467
Anesthesiology
111 E 210TH ST
BRONX, NY 10467

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 Bauer's NPI number?

The NPI number for Bradley Bauer is 1821521352. It was assigned to this individual provider in the NPPES registry on April 11, 2017.

Where is Bradley Bauer located?

Bradley Bauer practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 920-6097.

What is Bradley Bauer'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 Bauer enrolled in Medicare?

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

Is Bradley Bauer affiliated with any hospitals?

According to CMS data, Bradley Bauer is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Bradley Bauer was last updated on April 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.