KRISTEN CAROLE BRADLEY – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1477210003

KRISTEN CAROLE BRADLEY is a healthcare provider. based in St petersburg, Florida. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA.0007178 (CO). The NPI Number for KRISTEN CAROLE BRADLEY is 1477210003

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
KRISTEN CAROLE BRADLEY
NPI
1477210003
Phone
(203) 814-7528
Address
101 9TH ST E
Enumeration Date
18 November 2021
Last Update Date
27 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3037785797
Graduation Year
2021 (5 years ago)
PAC ID
3173917994
Group Practice PAC ID
0941110886
Professional Enrollment ID
I20220221002274
Address ID
CO802105850DE2535XSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:4State licenses:1Digital endpointsOther names

4,161 PHYSICIAN ASSISTANT in CO

Provider Addresses for KRISTEN CAROLE BRADLEY

  • 101 9TH ST E

    ST PETERSBURG, FL 337152204

    Phone: (203) 814-7528

    Type: Mailing

  • 145 INVERNESS DR E STE 220

    ENGLEWOOD, CO 801125172

    Phone: (303) 699-7325

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $198.

Total Amount is formed as General ($198) + Research ($0) + Ownership ($0) = $198.

Last reported payment date: 2024-10-31 • Largest payer in this snapshot: Avanos Medical ($126).

Total Amount

$198

General + Research + Ownership

Payments

5

Total payment records

General Amount

$198

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-31

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: 2022-02-21

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
I20220221002274IPhysician AssistantCOTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg24943$0
99213Established patient office or other outpatient visit, 20-29 minutes213138$0
J1030Injection, methylprednisolone acetate, 40 mg13775$0
20610Aspiration and/or injection of fluid from large joint13696$0
73030X-ray of shoulder, minimum of 2 views12385$0
View full utilization report →

Insurance plans in this area (ZIP 33715)

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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: 0941110886View full group profile
NameSpecialtyState
-CO
O B S T E T R I C S/ G Y N E C O L O G YCO
Nurse PractitionerCO
Internal MedicineCO
Physician AssistantCO
Family PracticeCO
Physician AssistantCO
-CO
Internal MedicineCO
N E U R O L O G YCO

Reviews

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Frequently asked questions

Is there an official ID for KRISTEN CAROLE BRADLEY in U.S. healthcare records?
The official identifier for KRISTEN CAROLE BRADLEY is NPI 1477210003.
Is KRISTEN CAROLE BRADLEY still an active registrant?
KRISTEN CAROLE BRADLEY carries an active NPI according to the public dataset.
What clinical focus is listed for KRISTEN CAROLE BRADLEY?
At a glance, KRISTEN CAROLE BRADLEY is tied to Sports Medicine (Orthopaedic Surgery) Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KRISTEN CAROLE BRADLEY?
Travel planning: use St Petersburg, Florida as the reference point for KRISTEN CAROLE BRADLEY, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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