DR. MACON SAMUEL BRADLEY D.O.
NPI 1851521744
Emergency Medicine in Russell Springs, KY
About Dr. Macon Samuel Bradley D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MACON SAMUEL BRADLEY D.O. (NPI 1851521744) is an individual emergency medicine provider in Russell Springs, Kentucky, licensed in Kentucky (03294) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Macon Samuel Bradley D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Macon Bradley reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Russell Springs, KY 42642
- Reassigned Medicare billing, Kentucky enrollment
- 47 clinicians in this Medicare group
Bowling Green, KY 42104
- Reassigned Medicare billing, Kentucky enrollment
- 103 clinicians in this Medicare group
Maryville, TN 37804
- Reassigned Medicare billing, Tennessee enrollment
- 390 clinicians in this Medicare group
Maysville, KY 41056
- Reassigned Medicare billing, Kentucky enrollment
- 828 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 42642 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RUSSELL SPRINGS, KY 42642
RUSSELL SPRINGS, KY 42642
RUSSELL SPRINGS, KY 42642
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 Macon Bradley's NPI number?
The NPI number for Macon Bradley is 1851521744. It was assigned to this individual provider in the NPPES registry on July 25, 2009.
Where is Macon Bradley located?
Macon Bradley practices at 153 Dowell Rd, Russell Springs, KY 42642. The listed phone number is (270) 866-4141.
What is Macon Bradley's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Macon Bradley enrolled in Medicare?
Yes. Macon Bradley is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Macon Bradley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Macon Bradley reassigns Medicare benefits to 4 organizations: Russell County Hospital (Russell Springs, KY), Emergency Medicine Services Of Ky, LLC (Bowling Green, KY), App Of Tennessee Ed, PLLC (Maryville, TN) and Southeastern Emergency Physicians LLC (Maysville, KY). Each 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 Macon 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 Macon Bradley was last updated on August 31, 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.