CAMERON BRADLEY JUSTICE (D.O.) – Emergency Medicine Physician, NPI 1316576846

CAMERON BRADLEY JUSTICE (D.O.) is a healthcare provider. based in Peoria, Illinois. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. OP61361059 (WA). The NPI Number for CAMERON BRADLEY JUSTICE (D.O.) is 1316576846

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
CAMERON BRADLEY JUSTICE (D.O.)
NPI
1316576846
Phone
(509) 969-8941
Address
4113 N BRYER PL
Enumeration Date
6 April 2020
Last Update Date
24 June 2023

Doctor Profile

Medical School Name
PACIFIC NW UN OF HS, COL OF OSTEOPATHIC MEDICINE
Secondary Phone
5095758000
Graduation Year
2020 (6 years ago)
PAC ID
4082032537
Group Practice PAC ID
1557391596
Professional Enrollment ID
I20230727001527
Address ID
WA989023761YA2811XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:6State licenses:2Digital endpointsOther names

2,860 EMERGENCY MEDICINE in IL

Provider Addresses for CAMERON BRADLEY JUSTICE (D.O.)

  • 4113 N BRYER PL

    PEORIA, IL 616147003

    Phone: (509) 969-8941

    Type: Mailing

  • 530 NE GLEN OAK AVE

    PEORIA, IL 616370001

    Phone: (309) 655-2109

    Type: Location

  • 603 S Chestnut St

    Ellensburg, WA 989263875

    Phone: (509) 962-9841

    Type: Location

  • 2811 TIETON DR

    YAKIMA, WA 989023761

    Phone: (509) 575-8000

    Type: Mailing

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: 2023-07-27

PECOS data refreshed: 2026-06-15

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
I20230727001527IEmergency MedicineWATBD

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
99285Emergency department visit with high level of medical decision making140134$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only10195$0
99284Emergency department visit with moderate level of medical decision making5151$0
99291Critical care, first 30-74 minutes3736$0
View full utilization report →

Insurance plans in this area (ZIP 61614)

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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: 1557391596View full group profile
NameSpecialtyState
Emergency MedicineWA
Internal MedicineNJ
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)WA
-WA
Internal MedicineWA
Emergency MedicineWA
-WA
Family PracticeWA
H E M A T O L O G Y/ O N C O L O G YWI

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Frequently asked questions

Is there an official ID for CAMERON BRADLEY JUSTICE (D.O.) in U.S. healthcare records?
The official identifier for CAMERON BRADLEY JUSTICE (D.O.) is NPI 1316576846.
Is there an active status for CAMERON BRADLEY JUSTICE (D.O.)?
For scheduling context, CAMERON BRADLEY JUSTICE (D.O.) is shown as active in the registry.
What clinical focus is listed for CAMERON BRADLEY JUSTICE (D.O.)?
At a glance, CAMERON BRADLEY JUSTICE (D.O.) is tied to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with CAMERON BRADLEY JUSTICE (D.O.)?
Directory geography for CAMERON BRADLEY JUSTICE (D.O.) centers on Peoria, Illinois.
What does 6 location(s) imply?
6 practice locations appear in the available data.