MARK S. BRADLEY, M.D. LLC
NPI 1891929238
Ophthalmology in Santa Fe, NM

Q: What is Mark S. Bradley, M.D. LLC's NPI number?

The NPI number for Mark S. Bradley, M.D. LLC is 1891929238. It was assigned to this organization in the NPPES registry on May 13, 2009.

Q: What is Mark S. Bradley, M.D. LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since May 13, 2009

2015 GALISTEO ST, SANTA FE, NM 87505(505) 466-2575(505) 989-1550 Get Directions Write a Review

NPPES record last updated: May 13, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Mark S. Bradley, M.d. Llc NPPES

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

MARK S. BRADLEY, M.D. LLC (NPI 1891929238) is a healthcare organization registered as an ophthalmology in Santa Fe, New Mexico and active in the NPI registry since May 2009. The organization lists Mark S Bradley, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1891929238

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameMARK S. BRADLEY, M.D. LLC

Location Address2015 GALISTEO STSanta Fe, NM 87505-2101

Mailing Address2015 Galisteo StSanta Fe, NM 87505-2101 · (505) 466-2575 · Fax (505) 989-1550

Phone(505) 466-2575

Fax(505) 989-1550

Organization SubpartNo

Authorized OfficialMark S BradleyOwner/physician · (505) 466-2575

Enumeration DateMay 13, 2009

✔ NPI 1891929238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in NM · 2002-0015

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

2015 GALISTEO ST, Santa Fe, NM 87505

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Other Identifiers 1

Medicare UPINE96862

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark S. Bradley, M.d. Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateNew MexicoEnrollment IDO20090527000453Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mark S. Bradley, M.D. LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mark Bradley, MD

Ophthalmology

NPI 1497786867

1925 ASPEN DR STE 500B
Santa Fe, NM 87505

(505) 466-2575

✔ PECOS✔ Accepts Medicare1.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mark S. Bradley, M.D. LLC's NPI number?

The NPI number for Mark S. Bradley, M.D. LLC is 1891929238. It was assigned to this organization in the NPPES registry on May 13, 2009.

Where is Mark S. Bradley, M.D. LLC located?

Mark S. Bradley, M.D. LLC is located at 2015 Galisteo St, Santa Fe, NM 87505. The listed phone number is (505) 466-2575.

What is Mark S. Bradley, M.D. LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Mark S. Bradley, M.D. LLC enrolled in Medicare?

Yes. Mark S. Bradley, M.D. LLC is registered in the Medicare PECOS enrollment system.

When is Mark S. Bradley, M.D. LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Mexico, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Mark S. Bradley, M.D. LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Mark S. Bradley, M.D. LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mark S. Bradley, M.D. LLC was last updated on May 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.