BRADLEY TAN (M.D.) – Internal Medicine Physician, NPI 1972509495

BRADLEY TAN (M.D.) is a healthcare provider. based in Lakeland, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME70358 (FL). The NPI Number for BRADLEY TAN (M.D.) is 1972509495

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY TAN (M.D.)
NPI
1972509495
Phone
Not provided
Address
1324 LAKELAND HILLS BLVD
Enumeration Date
21 June 2005
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8636036565
Graduation Year
1987 (39 years ago)
PAC ID
1850370065
Group Practice PAC ID
8325952914
Professional Enrollment ID
I20040720000194
Address ID
FL338051965LA3525XBLVD400
Telehealth
Yes

Contacts

Secure Messaging
btan18392@LRHS.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

12,368 INTERNAL MEDICINE in FL

Loading map...

Provider Addresses for BRADLEY TAN (M.D.)

  • Lakeland Regional Health Medical Center, 1324, Lakeland Hills Boulevard, Lakeland, Polk County, Florida, 33805, United States

    ATTN: MANAGED CARE DEPT.

    LAKELAND, FL 338054543

    Phone:

    Type: Mailing

  • 3030, Harden Boulevard, Lakeland, Polk County, Florida, 33803, United States

    LAKELAND, FL 338037952

    Phone: (863) 284-5000

    Fax: (863) 284-5959

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $201.

Total Amount is formed as General ($201) + Research ($0) + Ownership ($0) = $201.

Last reported payment date: 2024-05-31 • Largest payer in this snapshot: Eisai Inc. ($97).

Total Amount

$201

General + Research + Ownership

Payments

6

Total payment records

General Amount

$201

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-31

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: 2004-07-20

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
I20040720000194IInternal MedicineFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes693334$0
80053Blood test, comprehensive group of blood chemicals572312$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count511302$0
80061Blood test, lipids (cholesterol and triglycerides)376258$0
81003Automated urinalysis test263192$0
View full utilization report →

Insurance plans in this area (ZIP 33805)

Loading plans...

Provider's Procedures

BRADLEY TAN (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEFL85610Blood test, clotting time27947
INTERNAL MEDICINEFL90670Pneumococcal vaccine for injection into muscle4646

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: 8325952914View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do I look up BRADLEY TAN (M.D.) by NPI?
Use NPI 1972509495 when you need to reference BRADLEY TAN (M.D.) in forms, claims, or directories.
Is BRADLEY TAN (M.D.) active in the national directory?
BRADLEY TAN (M.D.)'s public NPI profile is in an active state.
Can you summarize BRADLEY TAN (M.D.)'s specialty in plain language?
Clinically, the directory lists BRADLEY TAN (M.D.) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does BRADLEY TAN (M.D.) practice in Florida?
You will see Lakeland, Florida on file for BRADLEY TAN (M.D.) alongside any extra practice locations.
What if Lakeland, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

Similar Providers

WATSON CLINIC LLP

Internal Medicine Physician
Lakeland Hills Boulevard, Lakeland, Polk County, Florida, United States
NPI: 1316940695

PATRICIA G ESEVERRI (M.D.)

Internal Medicine Physician
Lakeland Regional Health Medical Center, 1324, Lakeland Hills Boulevard, Lakeland, Polk County, Florida, 33805, United States
NPI: 1558365197

DR. SAM M KORLEY (M.D.)

Internal Medicine Physician
6675, Westwood Boulevard, Orlando, Orange County, Florida, 32819-9363, United States
NPI: 1518962885

DR. CHRISTOPHER E BAIRD (MD)

Hospitalist Physician
1600, Lakeland Hills Boulevard, Lakeland, Polk County, Florida, 33805, United States
NPI: 1013912658

V.J. TRISTRAM VAILOCES (M.D.)

Internal Medicine Physician
Lakeland Regional Health Medical Center, 1324, Lakeland Hills Boulevard, Lakeland, Polk County, Florida, 33805, United States
NPI: 1386640829

FINAH VIDA (M.D.)

Internal Medicine Physician
Lakeland Regional Health Medical Center, 1324, Lakeland Hills Boulevard, Lakeland, Polk County, Florida, 33805, United States
NPI: 1538165071

MARY E QUILLINAN (D.O.)

Internal Medicine Physician
3165 HIGHLANDS BY THE LAKE WAY
NPI: 1235134750

BENJAMIN SANDOVAL (M.D.)

Internal Medicine Physician
Lakeland Regional Health Medical Center, 1324, Lakeland Hills Boulevard, Lakeland, Polk County, Florida, 33805, United States
NPI: 1841295375

DR. RAJNIKANT M KADIWAR (M.D., F.A.C.P.)

Internal Medicine Physician
5458 HIGHLANDS VISTA CIR
NPI: 1346247863