BRAD VAMPLEW (PA-C) – Medical Physician Assistant, NPI 1902443047

BRAD VAMPLEW (PA-C) is a healthcare provider. based in Southgate, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601009537 (MI). The NPI Number for BRAD VAMPLEW (PA-C) is 1902443047

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
BRAD VAMPLEW (PA-C)
NPI
1902443047
Phone
(734) 341-1671
Address
13716 LEROY ST
Enumeration Date
9 December 2019
Last Update Date
9 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2488095224
Graduation Year
2019 (7 years ago)
PAC ID
5991130122
Group Practice PAC ID
6305188491
Professional Enrollment ID
I20200116002362
Address ID
MI483091200RO3200XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for BRAD VAMPLEW (PA-C)

  • 13716 LEROY ST

    SOUTHGATE, MI 481953112

    Phone: (734) 341-1671

    Type: Mailing

  • 31157 WOODWARD AVE

    ROYAL OAK, MI 480730996

    Phone: (248) 336-0123

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $156.

Total Amount is formed as General ($156) + Research ($0) + Ownership ($0) = $156.

Last reported payment date: 2023-05-18 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($156).

Total Amount

$156

General + Research + Ownership

Payments

2

Total payment records

General Amount

$156

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-18

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: 2020-01-16

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
I20200116002362IPhysician AssistantMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes154143$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus9692$0
87804Detection test by immunoassay with direct visual observation for influenza virus7941$0
99204New patient office or other outpatient visit, 45-59 minutes6161$0
99213Established patient office or other outpatient visit, 20-29 minutes3835$0
View full utilization report →

Insurance plans in this area (ZIP 48195)

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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: 6305188491View full group profile
NameSpecialtyState
Physician AssistantMI
Nurse PractitionerTN
-MI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerCA
Physician AssistantMI
Physician AssistantMI
Nurse PractitionerMI
-MI

Reviews

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Frequently asked questions

Can I cross-check BRAD VAMPLEW (PA-C) using NPI 1902443047?
NPI 1902443047 belongs to BRAD VAMPLEW (PA-C); compare other details if you need extra assurance.
Is there an active status for BRAD VAMPLEW (PA-C)?
For scheduling context, BRAD VAMPLEW (PA-C) is shown as active in the registry.
What area of care is associated with BRAD VAMPLEW (PA-C)?
BRAD VAMPLEW (PA-C)'s record emphasizes Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is BRAD VAMPLEW (PA-C) associated with Southgate?
Public fields place BRAD VAMPLEW (PA-C) around Southgate, Michigan. Always confirm the exact site before visiting.
Does BRAD VAMPLEW (PA-C) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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