BRADIE N BISHOP (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1972953727

BRADIE N BISHOP (M.D.) is a healthcare provider. based in Eglin afb, Florida. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. 30564 (NE). The NPI Number for BRADIE N BISHOP (M.D.) is 1972953727

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
BRADIE N BISHOP (M.D.)
NPI
1972953727
Phone
(850) 883-8600
Address
307 BOATNER RD STE 114
Enumeration Date
13 June 2016
Last Update Date
21 September 2020

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6036632583
Graduation Year
2016 (10 years ago)
PAC ID
3779954482
Group Practice PAC ID
9436199692
Professional Enrollment ID
I20230117001260
Address ID
NH031033502MA1XXXXWAYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

960 PATHOLOGY in FL

Provider Addresses for BRADIE N BISHOP (M.D.)

  • 307 BOATNER RD STE 114

    EGLIN AFB, FL 325421302

    Phone: (850) 883-8600

    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 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

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: 2023-01-17

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
I20230117001260IPathologyNHTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity1,076548$0
88341Special stained specimen slides to examine tissue, each additional procedure41695$0
88311Preparation of tissue for examination by removing any calcium present179170$0
88304Pathology examination of tissue using a microscope, moderately low complexity169159$0
88342Special stained specimen slides to examine tissue, initial procedure151125$0
View full utilization report →

Insurance plans in this area (ZIP 32542)

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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: 9436199692View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YNH
P A T H O L O G YNH
P A T H O L O G YNH
P A T H O L O G YVT
P A T H O L O G YME
P A T H O L O G YNH
P A T H O L O G YNH
P A T H O L O G YNH

Reviews

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Frequently asked questions

Is BRADIE N BISHOP (M.D.) listed with a National Provider Identifier?
Yes — BRADIE N BISHOP (M.D.) has NPI 1972953727 on file in the registry.
Is BRADIE N BISHOP (M.D.) shown as active in public data?
Registry records indicate BRADIE N BISHOP (M.D.) maintains an active NPI.
How would a patient describe BRADIE N BISHOP (M.D.)'s focus?
For BRADIE N BISHOP (M.D.), the primary taxonomy reads as Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for BRADIE N BISHOP (M.D.)?
Travel planning: use Eglin Afb, Florida as the reference point for BRADIE N BISHOP (M.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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