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BRADLEY WEVODAU CRNP-BC
NPI 1902517873
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Hershey, PA

Active since December 12, 2022PECOS Enrolled
30 HOPE DR. B, SUITE 2200, HERSHEY, PA 17033(717) 531-7123 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 11, 2023, Dec 12, 2022 (2 updates tracked since 2022).

About Bradley Wevodau Crnp-bc NPPES

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

BRADLEY WEVODAU CRNP-BC (NPI 1902517873) is an individual pediatric orthopaedic surgery provider in Hershey, Pennsylvania, licensed in Pennsylvania (SP026510) and active in the NPI registry since December 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Hershey.

NPPES Registry Identity

NPI1902517873
Entity TypeIndividualMale
Primary Taxonomy207XP3100X
Provider Legal NameBRADLEY WEVODAUCredential: CRNP-BC
Location Address30 HOPE DR. B, SUITE 2200Hershey, PA 17033
Mailing AddressPo Box 858, Mc Ca410Hershey, PA 17033-0858 · (800) 243-1455
Phone(717) 531-7123
Sole ProprietorNo
Enumeration DateDecember 12, 2022
Last NPPES UpdateJanuary 11, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2023
✔ NPI 1902517873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Pediatric Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XP3100X
License✔ Licensed in PA · SP026510
Definition
An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
30 HOPE DR. B, Hershey, PA 17033
Open in Google Maps ↗

Secondary Practice Location 1

Location 1500 University DrHershey, PA 17033-2360 · Phone (717) 531-6597

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bradley Wevodau Crnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Bradley Wevodau reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Milton S Hershey Medical Center Physicians Group
0.2 mi
Pediatrics
35 HOPE DR
Hershey, PA 17033
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,216 clinicians in this Medicare group
NPI 1205801537 (800) 243-1455

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 Bradley Wevodau's NPI number?

The NPI number for Bradley Wevodau is 1902517873. It was assigned to this individual provider in the NPPES registry on December 12, 2022.

Where is Bradley Wevodau located?

Bradley Wevodau practices at 30 Hope Dr. B Suite 2200, Hershey, PA 17033. The listed phone number is (717) 531-7123.

What is Bradley Wevodau's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.

Is Bradley Wevodau enrolled in Medicare?

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

Which organization bills Medicare for Bradley Wevodau's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bradley Wevodau reassigns Medicare benefits to The Milton S Hershey Medical Center Physicians Group (Hershey, PA). 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 Wevodau'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 Wevodau was last updated on January 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.