BRADLEY W WINE (MD) – Family Medicine Physician, NPI 1578126561
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
495 FAMILY PRACTICE in AK
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Provider Addresses for BRADLEY W WINE (MD)
1201, East 36th Avenue, Anchorage, Alaska, 99508, United States
ANCHORAGE, AK 995084372
Phone: (907) 562-9229
Fax: (907) 562-1603
Type: Location
4105, Southwest 91st Avenue, West Slope, Portland, Metro, Washington County, Oregon, 97225, United States
PORTLAND, OR 972084105
Phone: (866) 907-1068
Fax: (425) 917-9141
Type: Mailing
6615 HILLTOP LN SW
LAKEWOOD, WA 984991426
Phone: (316) 516-6170
Type: Mailing
911 MEALS AVE
VALDEZ, AK 996860046
Phone: (907) 835-2249
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2023-03-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220726000380 | I | Family Practice | TX | TBD |
| I20230324001252 | I | Family Practice | AK | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99283 | Emergency department visit with low level of medical decision making | 48 | 44 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 28 | 27 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 16 | 14 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 99508)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | AK | |
| Family Practice | AK | |
| Family Practice | OR | |
| Emergency Medicine, Family Practice | CA | |
| Emergency Medicine | NH | |
| Family Practice | OR | |
| Family Practice | AK | |
| Emergency Medicine | AK | |
| Family Practice, Emergency Medicine | AK | |
| Family Practice | AK |
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