BRADLEY REATHERFORD – Certified Registered Nurse Anesthetist, NPI 1326288812

BRADLEY REATHERFORD is a healthcare provider. based in Normal, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 041334740 (IL). The NPI Number for BRADLEY REATHERFORD is 1326288812

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY REATHERFORD
NPI
1326288812
Phone
(217) 454-0780
Address
1652 BELCLARE RD
Enumeration Date
24 February 2009
Last Update Date
12 July 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7087839100
Graduation Year
2009 (17 years ago)
PAC ID
2769535764
Group Practice PAC ID
1052576519
Professional Enrollment ID
I20090807000334
Address ID
IL604023429BE3249XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:17State licenses:2Digital endpointsOther names

2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL

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Provider Addresses for BRADLEY REATHERFORD

  • 1652, Belclare Road, Kelly Glen, Normal, McLean County, Illinois, 61761, United States

    NORMAL, IL 617614925

    Phone: (217) 454-0780

    Type: Mailing

  • UnityPoint Health - Methodist, 221, Northeast Glen Oak Avenue, Roanoke-Randolph Street Historic District, Peoria, Peoria County, Illinois, 61636, United States

    PEORIA, IL 616360001

    Phone: (309) 672-5654

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $73.

Total Amount is formed as General ($73) + Research ($0) + Ownership ($0) = $73.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($73).

Total Amount

$73

General + Research + Ownership

Payments

4

Total payment records

General Amount

$73

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$73
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: 2009-08-07

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
I20090807000334ICertified Registered Nurse Anesthetist (Crna)ILTBD

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
01810Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand1212$0
View full utilization report →

Insurance plans in this area (ZIP 61761)

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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: 1052576519View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IL
A N E S T H E S I O L O G YIA
-IL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)MO
-IL
Certified Registered Nurse Anesthetist (Crna)IL
-IL
Certified Registered Nurse Anesthetist (Crna)VA

Reviews

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Frequently asked questions

How do I look up BRADLEY REATHERFORD by NPI?
Use NPI 1326288812 when you need to reference BRADLEY REATHERFORD in forms, claims, or directories.
Is BRADLEY REATHERFORD's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does BRADLEY REATHERFORD work in?
You can think of BRADLEY REATHERFORD as practicing within Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What location metadata exists for BRADLEY REATHERFORD?
The page summarizes Normal, Illinois for BRADLEY REATHERFORD; expand the address list for detail.
What if Normal, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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