DE'SHAURIS NELSON BRADFORD M.D.
NPI 1942688841
Emergency Medicine in Port Jefferson, NY

Q: What is De'shauris Bradford's NPI number?

The NPI number for De'shauris Bradford is 1942688841. It was assigned to this individual provider in the NPPES registry on May 11, 2015.

Q: What is De'shauris Bradford's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since May 11, 2015PECOS EnrolledAccepts Medicare Assignment

75 N COUNTRY RD, PORT JEFFERSON, NY 11777(631) 686-2549(631) 686-7651 Get Directions Write a Review

NPPES record last updated: April 20, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 20, 2021, May 2, 2019 (2 updates tracked since 2019).

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About De'shauris Nelson Bradford M.d. NPPES

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

DE'SHAURIS NELSON BRADFORD M.D. (NPI 1942688841) is an individual emergency medicine provider in Port Jefferson, New York, licensed in Louisiana (310770) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with St Francis Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1942688841

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDE'SHAURIS NELSON BRADFORDCredential: M.D.

Location Address75 N COUNTRY RDPort Jefferson, NY 11777-2119

Mailing Address2000 Canal StNew Orleans, LA 70112-3018 · (504) 702-3000

Phone(631) 686-2549

Fax(631) 686-7651

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMay 11, 2015

Last NPPES UpdateApril 20, 20212 updates tracked since enumeration

NPPES CertifiedApril 20, 2021

✔ NPI 1942688841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in LA · 310770

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

75 N COUNTRY RD, Port Jefferson, NY 11777

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

De'shauris Nelson Bradford M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436439072

PECOS Enrollment IDI20190115002737, I20200403002915

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.

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

117 services117 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

67 services64 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

53 services52 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

St Francis Medical Center

Acute Care Hospitals · Monroe, LA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190125

Location309 Jackson StreetMonroe, LA 71201 · Ouachita County

Emergency services Birthing friendly

St Bernard Parish Hospital

Acute Care Hospitals · Chalmette, LA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number190308

Location8000 West Judge Perez DriveChalmette, LA 70043 · St. Bernard County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11777 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JUSTINA CATHERINE MELLONE DO

Student in an Organized Health Care Education/Training Program