BRADLEY CHRISTIANSEN (DPM) – Podiatrist, NPI 1356846703

BRADLEY CHRISTIANSEN (DPM) is a healthcare provider. based in Grandville, Michigan. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 5901400413 (MI). The NPI Number for BRADLEY CHRISTIANSEN (DPM) is 1356846703

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY CHRISTIANSEN (DPM)
NPI
1356846703
Phone
Not provided
Address
3380 44TH ST SW
Enumeration Date
28 March 2018
Last Update Date
24 January 2022

Doctor Profile

Medical School Name
BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
6166858250
Graduation Year
2018 (8 years ago)
PAC ID
1052667177
Group Practice PAC ID
4082807961
Professional Enrollment ID
I20210712000588
Address ID
MI494182461GR3380XSWXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

753 PODIATRY in MI

Provider Addresses for BRADLEY CHRISTIANSEN (DPM)

  • 3380 44TH ST SW

    GRANDVILLE, MI 494182461

    Phone:

    Type: Mailing

  • 36475 FIVE MILE RD

    LIVONIA, MI 481541971

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $604.

Total Amount is formed as General ($604) + Research ($0) + Ownership ($0) = $604.

Last reported payment date: 2024-08-27 • Largest payer in this snapshot: Kerecis Limited ($274).

Total Amount

$604

General + Research + Ownership

Payments

11

Total payment records

General Amount

$604

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-27

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: 2021-07-12

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
I20210712000588IPodiatryMITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes22995$0
11042Removal of skin and tissue, 20.0 sq cm or less11224$0
11721Removal of fingernails or toenails, 6 or more nails6540$0
99203New patient office or other outpatient visit, 30-44 minutes5050$0
99212Established patient office or other outpatient visit, 10-19 minutes3127$0
View full utilization report →

Insurance plans in this area (ZIP 49418)

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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: 4082807961View full group profile

Reviews

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Frequently asked questions

What identifier follows BRADLEY CHRISTIANSEN (DPM) across health systems?
The NPI 1356846703 uniquely identifies BRADLEY CHRISTIANSEN (DPM) in U.S. healthcare data.
Does the public listing show BRADLEY CHRISTIANSEN (DPM) as active?
BRADLEY CHRISTIANSEN (DPM)'s NPI record reflects an active status in NPPES.
How should patients interpret BRADLEY CHRISTIANSEN (DPM)'s specialty?
The extract shows Podiatrist for BRADLEY CHRISTIANSEN (DPM). Clinical services aligned with this taxonomy classification.
Which community is linked to BRADLEY CHRISTIANSEN (DPM)?
BRADLEY CHRISTIANSEN (DPM) shows a connection to Grandville, Michigan in registry-derived data.
Why is information missing for BRADLEY CHRISTIANSEN (DPM)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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