BRADLEY J ROTH (MD) – Trauma Surgery Physician, NPI 1699709048

BRADLEY J ROTH (MD) is a healthcare provider. based in Valencia, California. specializing in GENERAL SURGERY, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials MD. They hold a License No. G84133 (CA). The NPI Number for BRADLEY J ROTH (MD) is 1699709048

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY J ROTH (MD)
NPI
1699709048
Phone
(661) 430-0940
Address
25050 AVENUE KEARNY
Enumeration Date
10 July 2006
Last Update Date
21 July 2015

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5629332000
Graduation Year
1988 (38 years ago)
PAC ID
8022068212
Group Practice PAC ID
7214006816
Professional Enrollment ID
I20050125001165
Address ID
CA908061701LO2801XAVEX300
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

3,317 GENERAL SURGERY in CA

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Provider Addresses for BRADLEY J ROTH (MD)

  • 25050 AVENUE KEARNY

    SUITE 208

    VALENCIA, CA 913551257

    Phone: (661) 430-0940

    Fax: (661) 295-0862

    Type: Mailing

  • 11550, Indian Hills Road, Mission Hills Neighborhood Council District, Los Angeles, Los Angeles County, California, 91345, United States

    SUITE 310

    MISSION HILLS, CA 913451203

    Phone: (818) 898-4900

    Fax: (818) 898-4990

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $113.

Total Amount is formed as General ($113) + Research ($0) + Ownership ($0) = $113.

Last reported payment date: 2023-10-02 • Largest payer in this snapshot: Boston Scientific Corporation ($113).

Total Amount

$113

General + Research + Ownership

Payments

1

Total payment records

General Amount

$113

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-02

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: 2005-01-25

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
I20050125001165IGeneral SurgeryCATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4530$0
99203New patient office or other outpatient visit, 30-44 minutes1717$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 91355)

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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: 7214006816View full group profile
NameSpecialtyState
General SurgeryCA
General SurgeryPA
General SurgeryOK
Vascular Surgery, Thoracic Surgery, General SurgeryMI
General SurgeryMO
Orthopedic SurgeryNY
Physician AssistantVA
Nurse PractitionerMI
Orthopedic SurgeryCA
-CA

Reviews

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Frequently asked questions

What is the 10-digit NPI for BRADLEY J ROTH (MD)?
BRADLEY J ROTH (MD) — NPI 1699709048 — is the standard way to identify this listing.
Is BRADLEY J ROTH (MD) still practicing?
BRADLEY J ROTH (MD) is currently listed as active in the public NPI registry.
What is BRADLEY J ROTH (MD)'s primary classification?
Trauma Surgery Physician is the headline specialty for BRADLEY J ROTH (MD) here. Clinical services aligned with this taxonomy classification.
What area does BRADLEY J ROTH (MD) serve?
BRADLEY J ROTH (MD)'s listing highlights Valencia, California; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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