David Daniel Bradley (NPI# 1689646374, PAC ID# 2264528967) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1689646374 |
| PAC ID by PECOS | 2264528967 |
| Professional Enrollment ID | I20100803000809 |
| Full Name | David Daniel Bradley |
| Organization Legal Name | KINGSFORD PHYSICIAN SERVICES LLC |
| Address |
2400 Lee Hwy N Pulaski VA 24301-2326 |
| Phone Number | 5409948100 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0840541017 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490116 | LEWISGALE HOSPITAL PULASKI |
| Address | Phone | Organization |
|---|---|---|
| 2400 Lee Hwy N, Pulaski, VA 24301-2326 | 5409948100 | KINGSFORD PHYSICIAN SERVICES LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 98% | |
| ACI_EC_TRANS_EP_1 | e-Prescribing | 98% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 100% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 100% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 98% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 98% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 4% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 4% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 30% | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 30% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 0% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 0% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% |
| Organization Legal Name | KINGSFORD PHYSICIAN SERVICES LLC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony G Patriarco | Internal Medicine | Kingsford Physician Services LLC | 2400 Lee Hwy N, Pulaski, VA 24301-2326 |
| Brandon Warren Johnson | Nurse Practitioner | Kingsford Physician Services LLC | 2400 Lee Hwy N, Pulaski, VA 24301-2326 |
| Kenneth R Pendergrast | Internal Medicine | Kingsford Physician Services LLC | 2400 Lee Hwy N, Pulaski, VA 24301-2326 |
| Angela P Blackman | Nurse Practitioner | Kingsford Physician Services LLC | 2400 Lee Hwy N, Pulaski, VA 24301-2326 |
| Aja S Buhler | Nurse Practitioner | Kingsford Physician Services LLC | 2400 Lee Hwy N, Pulaski, VA 24301-2326 |
| Melanie M Hudgins | Nurse Practitioner | Kingsford Physician Services LLC | 2400 Lee Hwy N, Pulaski, VA 24301-2326 |
| Saddam Ehsan Zaidi | Internal Medicine | Kingsford Physician Services LLC | 2400 Lee Hwy N, Pulaski, VA 24301-2326 |
| Feras J Ghosheh | Internal Medicine | Kingsford Physician Services LLC | 2400 Lee Hwy N, Pulaski, VA 24301-2326 |
| Christy Fagg | Internal Medicine | Kingsford Physician Services LLC | 2400 Lee Hwy N, Pulaski, VA 24301-2326 |
| Erica A Waddle | Internal Medicine | Kingsford Physician Services LLC | 2400 Lee Hwy N, Pulaski, VA 24301-2326 |
| Street Address |
2400 LEE HWY N |
| City | PULASKI |
| State | VA |
| Zip | 24301-2326 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph D Cacioppo | Emergency Medicine | Kingsford Emergency Group, LLC | 2400 Lee Hwy N, Pulaski, VA 24301-2326 |
| Anthony G Patriarco | Internal Medicine | Kingsford Physician Services LLC | 2400 Lee Hwy N, Pulaski, VA 24301-2326 |
| Brandon Warren Johnson | Nurse Practitioner | Kingsford Physician Services LLC | 2400 Lee Hwy N, Pulaski, VA 24301-2326 |
| Kenneth R Pendergrast | Internal Medicine | Kingsford Physician Services LLC | 2400 Lee Hwy N, Pulaski, VA 24301-2326 |
| Bita Mansouri | Emergency Medicine | Kingsford Emergency Group, LLC | 2400 Lee Hwy N, Pulaski, VA 24301-2326 |
| Benjamin S Davidson | Emergency Medicine | Kingsford Emergency Group, LLC | 2400 Lee Hwy N, Pulaski, VA 24301-2326 |
| Angela P Blackman | Nurse Practitioner | Kingsford Physician Services LLC | 2400 Lee Hwy N, Pulaski, VA 24301-2326 |
| Alexander Fernandez | Certified Registered Nurse Anesthetist (crna) | Pulaski Community Hospital Inc | 2400 Lee Hwy N, Pulaski, VA 24301-2326 |
| Aja S Buhler | Nurse Practitioner | Kingsford Physician Services LLC | 2400 Lee Hwy N, Pulaski, VA 24301-2326 |
| Melanie M Hudgins | Nurse Practitioner | Kingsford Physician Services LLC | 2400 Lee Hwy N, Pulaski, VA 24301-2326 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea W Rupe | Nurse Practitioner | 101 1st Nwst, Suite 2, Pulaski, VA 24301 | |
| Karanita M Ojomo | Radiation Oncology | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2400 Lee N Hwy, Pulaski, VA 24301-2326 |
| Saddam Ehsan Zaidi | Internal Medicine | Kingsford Physician Services LLC | 2400 Lee Hwy N, Pulaski, VA 24301-2326 |
| Feras J Ghosheh | Internal Medicine | Kingsford Physician Services LLC | 2400 Lee Hwy N, Pulaski, VA 24301-2326 |
| J Frederick Hyduke | Anesthesiology | 2400 Lee Hwy N, Pulaski, VA 24301-2326 | |
| Owen W Roberts | Hematology/oncology | Lewis Gale Physicians LLC | 2400 Lee Hwy N, Pulaski, VA 24301-2326 |
| Christy Fagg | Internal Medicine | Kingsford Physician Services LLC | 2400 Lee Hwy N, Pulaski, VA 24301-2326 |
| Erica A Waddle | Internal Medicine | Kingsford Physician Services LLC | 2400 Lee Hwy N, Pulaski, VA 24301-2326 |
| Jane S Weiseman | Emergency Medicine | Kingsford Emergency Group, LLC | 2400 Lee Hwy N, Pulaski, VA 24301-2326 |
| Scott A Wright | Internal Medicine | Kingsford Emergency Group, LLC | 2400 Lee Hwy N, Pulaski, VA 24301-2326 |
| Find all physicians in zip 24301 | |||
| City | PULASKI |
| Zip Code | 24301 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PULASKI + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on David Daniel Bradley.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.