SEDRICK BRADLEY (M.D.) – Rheumatology Physician, NPI 1457791857

SEDRICK BRADLEY (M.D.) is a healthcare provider. based in Tifton, Georgia. specializing in RHEUMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 080496 (GA). The NPI Number for SEDRICK BRADLEY (M.D.) is 1457791857

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
SEDRICK BRADLEY (M.D.)
NPI
1457791857
Phone
(229) 891-9088
Address
114 12th St W Ste A
Enumeration Date
28 June 2013
Last Update Date
28 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2013 (13 years ago)
PAC ID
1254655871
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20180813001697
Address ID
GA301893768WO120XXPKWY300

Contacts

Secure Messaging
sbradley363344@directwellstar.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:12State licenses:1Other namesUpdated within 12 months

186 RHEUMATOLOGY in GA

Provider Addresses for SEDRICK BRADLEY (M.D.)

  • 114 12th St W Ste A

    Tifton, GA 317946976

    Phone: (229) 891-9088

    Fax: (229) 890-7053

    Type: Location

  • PO BOX 3277

    MOULTRIE, GA 317763277

    Phone: (229) 891-9088

    Fax: (229) 890-7053

    Type: Mailing

  • 6 HOSPITAL PARK

    MOULTRIE, GA 31768

    Phone: (229) 891-9088

    Fax: (229) 891-9079

    Type: Location

  • 120 STONEBRIDGE PKWY STE 210

    WOODSTOCK, GA 301893768

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $308.

Total Amount is formed as General ($308) + Research ($0) + Ownership ($0) = $308.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($107).

Total Amount

$308

General + Research + Ownership

Payments

12

Total payment records

General Amount

$308

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2018-08-13

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
I20180813001697IRheumatologyGATBD

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
J0897Injection, denosumab, 1 mg1,32015$0
99214Established patient office or other outpatient visit, 30-39 minutes255139$0
99213Established patient office or other outpatient visit, 20-29 minutes11085$0
99204New patient office or other outpatient visit, 45-59 minutes6464$0
96372Injection of drug or substance under skin or into muscle4424$0
View full utilization report →

Insurance plans in this area (ZIP 31794)

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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: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

Can I cross-check SEDRICK BRADLEY (M.D.) using NPI 1457791857?
NPI 1457791857 belongs to SEDRICK BRADLEY (M.D.); compare other details if you need extra assurance.
Is SEDRICK BRADLEY (M.D.) shown as active in public data?
Registry records indicate SEDRICK BRADLEY (M.D.) maintains an active NPI.
What expertise is attributed to SEDRICK BRADLEY (M.D.)?
SEDRICK BRADLEY (M.D.)'s specialty line reads Rheumatology Physician. Clinical services aligned with this taxonomy classification.
Is SEDRICK BRADLEY (M.D.) associated with Tifton?
Public fields place SEDRICK BRADLEY (M.D.) around Tifton, Georgia. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for SEDRICK BRADLEY (M.D.) is noted as June 28, 2013 where the registry provides it.

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