Dr David D Bradley, DO in Fargo, ND - Medicare Pain Management

Dr David D Bradley, DO is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Fargo, North Dakota. He went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2002 and has 22 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Innovis Health Llc and his current practice location is Essentia Health South University Clinic, 1702 University Drive South, Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 364-3300.

Dr David D Bradley is licensed to practice in North Dakota (license number 14574) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1639294259.

Contact Information

	Dr David D Bradley, DO
	Essentia Health South University Clinic, 1702 University Drive South, Fargo, ND 58103
	(701) 364-3300
	(701) 364-8906

Physician's Profile

Full Name	Dr David D Bradley
Gender	Male
Speciality	Pain Management
Experience	22 Years
Location	Essentia Health South University Clinic, Fargo, North Dakota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr David D Bradley attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2002

NPI Data:

NPI Number: 1639294259
Provider Enumeration Date: 03/20/2007
Last Update Date: 03/26/2019

Medicare PECOS Information:

PECOS PAC ID: 2466432273
Enrollment ID: I20170706002858

Medical Identifiers

Medical identifiers for Dr David D Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639294259	NPI	-	NPPES
864638100	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	52167 (Minnesota)	Secondary
208100000X	Physical Medicine & Rehabilitation	PT14574 (North Dakota)	Secondary
208100000X	Physical Medicine & Rehabilitation	14574 (North Dakota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Essentia Health	Fargo, ND	Hospital
Essentia Health St Marys - Detroit Lakes	Detroit lakes, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Innovis Health Llc	9931298155	473

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr David D Bradley allows following entities to bill medicare on his behalf.

Entity Name	Innovis Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215125463 PECOS PAC ID: 9931298155 Enrollment ID: O20071211000158

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr David D Bradley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr David D Bradley, DO 400 E Third Street Mcl2cred, Duluth, MN 55805-1951 Ph: (218) 786-3146	Dr David D Bradley, DO Essentia Health South University Clinic, 1702 University Drive South, Fargo, ND 58103 Ph: (701) 364-3300

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Physical Medicine & Rehabilitation Doctors in Fargo, ND

Bangalore S Vijayalakshmi, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1702 University Dr S, Fargo, ND 58103 Phone: 701-364-3300 Fax: 701-364-8906
Marie L Brekken, PA-C Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1720 University Dr S, Fargo, ND 58103 Phone: 701-280-4375 Fax: 701-461-5764
Nina Magdalena Robinson, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1301 Centennial Blvd, Fargo, ND 58102 Phone: 612-708-7434
William N Klava, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2203 Fax: 701-234-2899
Mr. Tom L Baumgartner Jr., MPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 4450 31st Ave S Ste 104, Fargo, ND 58104 Phone: 701-451-9417 Fax: 701-298-0066
Dennis G Sollom, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1702 University Dr S, Fargo, ND 58103 Phone: 701-364-3300 Fax: 701-364-8906
Dr. Kenny Chantasi, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000

Dr David D Bradley, DO - Medicare Pain Management in Fargo, ND

Contact Information

Physician's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medical Facilities Affiliation

Group Practice Association

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Medicare Reassignments

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Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Physical Medicine & Rehabilitation Doctors in Fargo, ND