BRADLEY A JABOUR (M.D.) – Neuroradiology Physician, NPI 1609997402

BRADLEY A JABOUR (M.D.) is a healthcare provider. based in Santa monica, California. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. A41876 (CA). The NPI Number for BRADLEY A JABOUR (M.D.) is 1609997402

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY A JABOUR (M.D.)
NPI
1609997402
Phone
(310) 829-9788
Address
2811 WILSHIRE BLVD STE 810
Enumeration Date
2 April 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3108299788
Graduation Year
1980 (46 years ago)
PAC ID
5698714863
Group Practice PAC ID
2961306469
Professional Enrollment ID
I20111219000715
Address ID
CA904034801SA2827XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,793 DIAGNOSTIC RADIOLOGY in CA

Provider Addresses for BRADLEY A JABOUR (M.D.)

  • 2811 WILSHIRE BLVD STE 810

    SANTA MONICA, CA 904034812

    Phone: (310) 829-9788

    Fax: (310) 453-1576

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $155,111.

Total Amount is formed as General ($155,111) + Research ($0) + Ownership ($0) = $155,111.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Olympus America Inc. ($153,023).

Total Amount

$155,111

General + Research + Ownership

Payments

19

Total payment records

General Amount

$155,111

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

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: 2011-12-19

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
I20111219000715IDiagnostic RadiologyCATBD

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
A9575Injection, gadoterate meglumine, 0.1 ml31,100287$0
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml4,30042$0
72148Mri scan of lower spinal canal without contrast575544$0
763763d radiographic procedure534479$0
72141Mri scan of upper spinal canal without contrast312303$0
View full utilization report →

Insurance plans in this area (ZIP 90403)

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Provider's Procedures

BRADLEY A JABOUR (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYCA71250CT scan chest5249
DIAGNOSTIC RADIOLOGYCA73562X-ray of knee, 3 views2116
DIAGNOSTIC RADIOLOGYCA76830Ultrasound pelvis through vagina3028

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: 2961306469View full group profile
NameSpecialtyState
Nuclear Medicine, Diagnostic RadiologyCA
Vascular Surgery, Obstetrics/GynecologyCA
Diagnostic RadiologyMN
Diagnostic RadiologyCA
Diagnostic RadiologyCA

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Frequently asked questions

Is BRADLEY A JABOUR (M.D.) listed with a National Provider Identifier?
Yes — BRADLEY A JABOUR (M.D.) has NPI 1609997402 on file in the registry.
Active or inactive — what applies to BRADLEY A JABOUR (M.D.)?
You should see BRADLEY A JABOUR (M.D.) as active in CMS-hosted NPPES data.
What clinical focus is listed for BRADLEY A JABOUR (M.D.)?
At a glance, BRADLEY A JABOUR (M.D.) is tied to Neuroradiology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for BRADLEY A JABOUR (M.D.)?
Travel planning: use Santa Monica, California as the reference point for BRADLEY A JABOUR (M.D.), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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