BRADLEY ALAN EBEL (DO) – Diagnostic Radiology Physician, NPI 1053301879

BRADLEY ALAN EBEL (DO) is a healthcare provider. based in Macon, Georgia. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials DO. They hold a License No. 50158 (GA). The NPI Number for BRADLEY ALAN EBEL (DO) is 1053301879

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY ALAN EBEL (DO)
NPI
1053301879
Phone
(478) 743-1458
Address
770 PINE ST STE 290
Enumeration Date
24 October 2005
Last Update Date
3 July 2014

Doctor Profile

Medical School Name
MID WEST MEDICAL COLLEGE
Secondary Phone
4787578200
Graduation Year
1995 (31 years ago)
PAC ID
0840198735
Group Practice PAC ID
7113817701
Professional Enrollment ID
I20031230000351
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,271 DIAGNOSTIC RADIOLOGY in GA

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Provider Addresses for BRADLEY ALAN EBEL (DO)

  • Pine Street, Callao, Macon County, Missouri, United States

    ATTN: RADIOLOGY DEPARTMENT

    MACON, GA 312017516

    Phone: (478) 743-1458

    Fax: (478) 755-1332

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2003-12-30

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
I20031230000351IDiagnostic RadiologyGATBD

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
71045X-ray of chest, 1 view630545$0
77067Screening mammography252252$0
77063Screening 3d breast mammography247247$0
71046X-ray of chest, 2 views233230$0
70450Ct scan head or brain without contrast134131$0
View full utilization report →

Insurance plans in this area (ZIP 31201)

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Provider's Procedures

BRADLEY ALAN EBEL (DO) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYGA71250CT scan chest10099
DIAGNOSTIC RADIOLOGYGA74177CT scan of abdomen and pelvis with contrast8483

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: 7113817701View full group profile
NameSpecialtyState
-GA
Diagnostic RadiologyMN
Diagnostic RadiologyGA
Diagnostic RadiologyFL
Diagnostic RadiologyGA
-GA
-GA
Diagnostic RadiologyGA
Diagnostic Radiology, Interventional RadiologyGA
Nurse PractitionerGA

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Frequently asked questions

Can I verify BRADLEY ALAN EBEL (DO) with an NPI only?
You can start verification with NPI 1053301879 for BRADLEY ALAN EBEL (DO), then check state licensing separately.
Does the file indicate BRADLEY ALAN EBEL (DO) is practicing under active NPI?
Directory data currently reports BRADLEY ALAN EBEL (DO) as active.
What is BRADLEY ALAN EBEL (DO)'s specialty?
The listing groups BRADLEY ALAN EBEL (DO) with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where is BRADLEY ALAN EBEL (DO) based?
BRADLEY ALAN EBEL (DO) is tied to Macon, Georgia in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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