DR. KEVIN GRANT BRADLEY (M.D.) – Diagnostic Radiology Physician, NPI 1093880486
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
927 DIAGNOSTIC RADIOLOGY in CO
Provider Addresses for DR. KEVIN GRANT BRADLEY (M.D.)
1746 Cole Blvd Ste 150
Lakewood, CO 804013267
Phone: (303) 914-8800
Type: Location
PO BOX 11982
PENSACOLA, FL 325241982
Phone: (850) 479-1805
Fax: (850) 479-1829
Type: Mailing
5149, North 9th Avenue, Cordova Mall, Pensacola, Escambia County, Florida, 32504, United States
SUITE 120
PENSACOLA, FL 325048756
Phone: (850) 479-1805
Fax: (850) 479-1829
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $152.
Total Amount is formed as General ($152) + Research ($0) + Ownership ($0) = $152.
Last reported payment date: 2023-06-27 • Largest payer in this snapshot: GE HealthCare ($152).
Total Amount
$152
General + Research + Ownership
Payments
3
Total payment records
General Amount
$152
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GE HealthCare | $152 |
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: 2004-11-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041123001132 | I | Diagnostic Radiology | FL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80401)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | PA | |
| Diagnostic Radiology, Interventional Radiology, Diagnostic Radiology | CO | |
| Diagnostic Radiology, Interventional Radiology, Nuclear Medicine | CO | |
| Diagnostic Radiology | CO | |
| - | CO | |
| Diagnostic Radiology | TN | |
| Diagnostic Radiology | NC | |
| Diagnostic Radiology | CO | |
| Diagnostic Radiology | CO | |
| - | CO |
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