TIFFANY BRADLEY M.D.
NPI 1962935288
Family Medicine in Las Vegas, NV

Q: What is Tiffany Bradley's NPI number?

The NPI number for Tiffany Bradley is 1962935288. It was assigned to this individual provider in the NPPES registry on April 4, 2017.

Q: What is Tiffany Bradley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Tiffany Bradley was last updated on October 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 04, 2017PECOS Enrolled

3131 LA CANADA ST STE 200, LAS VEGAS, NV 89169(702) 369-5582(702) 650-5148 Get Directions Write a Review

NPPES record last updated: October 17, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 17, 2022, Oct 8, 2020, Apr 10, 2017 (3 updates tracked since 2017).

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About Tiffany Bradley M.d. NPPES

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

TIFFANY BRADLEY M.D. (NPI 1962935288) is an individual family medicine provider in Las Vegas, Nevada, licensed in Nevada (20227) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1962935288

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameTIFFANY BRADLEYCredential: M.D.

Location Address3131 LA CANADA ST STE 200Las Vegas, NV 89169-8204

Mailing Address6355 S Buffalo Dr Fl 3Las Vegas, NV 89113-2133 · (702) 216-3343 · Fax (702) 671-6883

Phone(702) 369-5582

Fax(702) 650-5148

Sole ProprietorNo

Enumeration DateApril 4, 2017

Last NPPES UpdateOctober 17, 20223 updates tracked since enumeration

NPPES CertifiedOctober 17, 2022

✔ NPI 1962935288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NV · 20227

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3131 LA CANADA ST STE 200, Las Vegas, NV 89169

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Secondary Practice Location 1

Location 14275 Burnham Ave Ste 255Las Vegas, NV 89119-8204 · Phone (702) 369-0088 · Fax (702) 893-4913

Other Identifiers 2

Medicaid1962935288NV

Other20227NV · State License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiffany Bradley M.d. 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 Reassignments

Medicare enrollment records show Tiffany Bradley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Med-Care Providers LLC

1.4 mi

Primary Care

2121 E FLAMINGO RD STE 218
Las Vegas, NV 89119

Reassigned Medicare billing, Nevada enrollment
16 clinicians in this Medicare group

NPI 1508630542 (702) 444-1002

Intermountain Medical Holdings Nevada Inc

10 mi

Internal Medicine

595 W LAKE MEAD PKWY
Henderson, NV 89015

Reassigned Medicare billing, Nevada enrollment
521 clinicians in this Medicare group

NPI 1245997279 (702) 566-5500

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89169 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHAD ROBINSON BLACK MD

Family Medicine