BRADLEY SEAN NEUTEL (MD) – Internal Medicine Physician, NPI 1104482389

BRADLEY SEAN NEUTEL (MD) is a healthcare provider. based in Irvine, California. specializing in INTERNAL MEDICINE, ENDOCRINOLOGY. They hold the professional credentials MD. They hold a License No. A177496 (CA). The NPI Number for BRADLEY SEAN NEUTEL (MD) is 1104482389

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY SEAN NEUTEL (MD)
NPI
1104482389
Phone
(714) 566-4022
Address
52 NEW DAWN
Enumeration Date
14 May 2019
Last Update Date
15 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7149742900
Graduation Year
2019 (7 years ago)
PAC ID
2466990775
Group Practice PAC ID
8921993205
Professional Enrollment ID
I20240819001032
Address ID
CA928081108AN8078XRDXX600
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:7State licenses:1Digital endpointsOther names

21,511 INTERNAL MEDICINE in CA

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Provider Addresses for BRADLEY SEAN NEUTEL (MD)

  • 52, New Dawn, Northwood Pointe, Irvine, Orange County, California, 92620, United States

    IRVINE, CA 926201932

    Phone: (714) 566-4022

    Type: Mailing

  • West Carson Street, Harbor Gateway, Torrance, Los Angeles County, California, 90501, United States

    TORRANCE, CA 905022004

    Phone: (424) 306-5570

    Type: Location

  • 25381 COMMERCENTRE DR

    LAKE FOREST, CA 926308860

    Phone: (949) 881-5683

    Fax: (949) 810-8417

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $789.

Total Amount is formed as General ($789) + Research ($0) + Ownership ($0) = $789.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Medtronic, Inc. ($142).

Total Amount

$789

General + Research + Ownership

Payments

29

Total payment records

General Amount

$789

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2024-08-19

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
I20240819001032IInternal MedicineCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92620)

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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: 8921993205View full group profile

Reviews

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Frequently asked questions

Is BRADLEY SEAN NEUTEL (MD) listed with a National Provider Identifier?
Yes — BRADLEY SEAN NEUTEL (MD) has NPI 1104482389 on file in the registry.
Is there an active status for BRADLEY SEAN NEUTEL (MD)?
For scheduling context, BRADLEY SEAN NEUTEL (MD) is shown as active in the registry.
What clinical focus is listed for BRADLEY SEAN NEUTEL (MD)?
At a glance, BRADLEY SEAN NEUTEL (MD) is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with BRADLEY SEAN NEUTEL (MD)?
Directory geography for BRADLEY SEAN NEUTEL (MD) centers on Irvine, California.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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