JONATHAN BRADBERRY (MD) – Internal Medicine Physician, NPI 1083119887

JONATHAN BRADBERRY (MD) is a healthcare provider. based in Florence, Alabama. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MD.42484 (AL). The NPI Number for JONATHAN BRADBERRY (MD) is 1083119887

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN BRADBERRY (MD)
NPI
1083119887
Phone
(256) 764-9994
Address
646 COX CREEK PKWY
Enumeration Date
26 March 2018
Last Update Date
7 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2567604544
Graduation Year
2018 (8 years ago)
PAC ID
2466700398
Group Practice PAC ID
4688691918
Professional Enrollment ID
I20211015000983
Address ID
AL356301189FL646XXPKWY403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

4,934 INTERNAL MEDICINE in VA

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Provider Addresses for JONATHAN BRADBERRY (MD)

  • 646 COX CREEK PKWY

    FLORENCE, AL 356301176

    Phone: (256) 764-9994

    Fax: (833) 448-3003

    Type: Mailing

  • 1906, Belleview Avenue Southeast, Bellview Terrace, Roanoke, Roanoke (city), Virginia, 24014, United States

    ROANOKE, VA 240141838

    Phone: (540) 981-7000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 113 Open Payments records for all available years, with a total value of $2,090.

Total Amount is formed as General ($2,090) + Research ($0) + Ownership ($0) = $2,090.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Novo Nordisk Inc ($354).

Total Amount

$2,090

General + Research + Ownership

Payments

113

Total payment records

General Amount

$2,090

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-10-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211015000983IInternal MedicineALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes396133$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes15668$0
99239Hospital discharge day management, more than 30 minutes116112$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes10296$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes6160$0
View full utilization report →

Insurance plans in this area (ZIP 35630)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688691918View full group profile
NameSpecialtyState
Family PracticeAL
-AL
Nurse PractitionerAL
Internal MedicineAP
Family PracticeAL
Internal MedicineAL
Internal MedicineAL

Reviews

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Frequently asked questions

Can I verify JONATHAN BRADBERRY (MD) with an NPI only?
You can start verification with NPI 1083119887 for JONATHAN BRADBERRY (MD), then check state licensing separately.
Is JONATHAN BRADBERRY (MD) still practicing?
JONATHAN BRADBERRY (MD) is currently listed as active in the public NPI registry.
What is JONATHAN BRADBERRY (MD) best known for clinically?
Directory data describes JONATHAN BRADBERRY (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does JONATHAN BRADBERRY (MD) list a practice location?
Patients near Florence, Alabama may find JONATHAN BRADBERRY (MD) in results; validate coverage separately.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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