MR. BARRETT BLAKE BRADLEY (MD) – Obstetrics & Gynecology Physician, NPI 1821088170

MR. BARRETT BLAKE BRADLEY (MD) is a healthcare provider. based in Lexington, Kentucky. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 23312 (KY). The NPI Number for MR. BARRETT BLAKE BRADLEY (MD) is 1821088170

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
MR. BARRETT BLAKE BRADLEY (MD)
NPI
1821088170
Phone
(859) 971-4685
Address
PO BOX 910670
Enumeration Date
27 October 2005
Last Update Date
8 December 2020

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8592604390
Graduation Year
1983 (43 years ago)
PAC ID
2163467002
Group Practice PAC ID
5597867184
Professional Enrollment ID
I20050622000381
Address ID
KY405173094LE4071XDRXX501

Contacts

Secure Messaging
bbradley6095@bhkydirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

630 OBSTETRICS/GYNECOLOGY in KY

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Provider Addresses for MR. BARRETT BLAKE BRADLEY (MD)

  • Tar Box Trail, Lexington County, South Carolina, United States

    LEXINGTON, KY 405910670

    Phone: (859) 971-4685

    Fax: (859) 971-4602

    Type: Mailing

  • Building B, 1780, Nicholasville Road, Seven Parks, Shawneetown, Lexington, Fayette County, Kentucky, 40503-1926, United States

    STE 403

    LEXINGTON, KY 405031400

    Phone: (859) 260-2580

    Fax: (859) 260-2585

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 49 Open Payments records for all available years, with a total value of $1,074.

Total Amount is formed as General ($1,074) + Research ($0) + Ownership ($0) = $1,074.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Aspira Women's Health Inc ($107).

Total Amount

$1,074

General + Research + Ownership

Payments

49

Total payment records

General Amount

$1,074

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2005-06-22

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
I20050622000381IObstetrics/GynecologyKYTBD

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 40591)

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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: 5597867184View full group profile
NameSpecialtyState
Nurse PractitionerKY
-KY
-KY
General PracticeKY
P S Y C H I A T R YKY
Thoracic Surgery, Cardiac SurgeryKY
N E U R O S U R G E R YKY
Physician AssistantKY
Emergency Medicine, General PracticeKY
Hematology/Oncology, Internal MedicineKY

Reviews

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Frequently asked questions

Can I use this page to confirm MR. BARRETT BLAKE BRADLEY (MD)'s NPI?
Yes. MR. BARRETT BLAKE BRADLEY (MD) is listed with NPI 1821088170 in the public NPI dataset.
Can I rely on MR. BARRETT BLAKE BRADLEY (MD) being an active provider?
As of the registry snapshot, MR. BARRETT BLAKE BRADLEY (MD) is marked active.
What taxonomy line describes MR. BARRETT BLAKE BRADLEY (MD)?
For research purposes, treat MR. BARRETT BLAKE BRADLEY (MD) as Obstetrics & Gynecology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does MR. BARRETT BLAKE BRADLEY (MD) list a practice location?
Patients near Lexington, Kentucky may find MR. BARRETT BLAKE BRADLEY (MD) in results; validate coverage separately.
Why does MR. BARRETT BLAKE BRADLEY (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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