BRADLEY ALEN SANDS – Nurse Practitioner, NPI 1265993646

BRADLEY ALEN SANDS is a healthcare provider. based in Litchfield, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 209019065 (IL). The NPI Number for BRADLEY ALEN SANDS is 1265993646

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY ALEN SANDS
NPI
1265993646
Phone
(217) 324-3400
Address
20 CORVETTE DR
Enumeration Date
27 March 2019
Last Update Date
15 July 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8883638333
Graduation Year
2018 (8 years ago)
PAC ID
7517200983
Group Practice PAC ID
6103264510
Professional Enrollment ID
I20190529000267
Address ID
IL620250000ED1181X157X500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for BRADLEY ALEN SANDS

  • Corvette Drive, Litchfield, Montgomery County, Illinois, 62056, United States

    LITCHFIELD, IL 620561038

    Phone: (217) 324-3400

    Type: Mailing

  • HSHS Medical Group Multispecialty Care, 1188, South State Route 157, Edwardsville, Madison County, Illinois, 62025, United States

    EDWARDSVILLE, IL 62025

    Phone: (618) 220-1234

    Type: Location

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 $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-05-24 • Largest payer in this snapshot: ABBVIE INC. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$15
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: 2019-05-29

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
I20190529000267INurse PractitionerILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62056)

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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: 6103264510View full group profile
NameSpecialtyState
Nurse PractitionerIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Nurse PractitionerIN
Physical Therapist In Private PracticeOR
Physician AssistantIL
Nurse PractitionerIL
Nurse PractitionerAZ
Physical Therapist In Private PracticeIL
Family PracticeIL

Reviews

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Frequently asked questions

How do payers reference BRADLEY ALEN SANDS?
For BRADLEY ALEN SANDS, use NPI 1265993646 as the unique 10-digit identifier.
Would BRADLEY ALEN SANDS appear as active to a payer?
You can treat BRADLEY ALEN SANDS as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with BRADLEY ALEN SANDS?
BRADLEY ALEN SANDS's record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for BRADLEY ALEN SANDS?
Travel planning: use Litchfield, Illinois as the reference point for BRADLEY ALEN SANDS, then confirm.
When was this NPI issued?
Enumeration for BRADLEY ALEN SANDS is noted as March 27, 2019 where the registry provides it.

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