BRADLEY W ORVILLE (PA-C) – Physician Assistant, NPI 1922088616
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,032 PHYSICIAN ASSISTANT in OH
Provider Addresses for BRADLEY W ORVILLE (PA-C)
Troy Post Office, 400, Broadway, Downtown, City of Troy, Rensselaer County, New York, 12180, United States
TROY, MI 480991239
Phone: (248) 824-6600
Fax: (248) 324-1477
Type: Mailing
8401 MARKET ST
BOARDMAN, OH 445126725
Phone: (330) 729-4298
Fax: (330) 729-1897
Type: Mailing
3340 TAMIAMI TRL
PORT CHARLOTTE, FL 339528088
Phone: (941) 764-5858
Fax: (941) 764-1657
Type: Location
21540, West 11 Mile Road, Southfield, Oakland County, Michigan, 48076, United States
SUITE 200
SOUTHFIELD, MI 480763843
Phone: (248) 352-2000
Fax: (248) 352-8800
Type: Location
2675 WINKLER AVE FL 2
FORT MYERS, FL 339019342
Phone:
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: 2021-04-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180104001830 | I | Physician Assistant | FL | TBD |
| I20210420002643 | I | Physician Assistant | OH | TBD |
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.
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 48099)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | FL | |
| Nurse Practitioner | FL | |
| Family Practice | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Cardiovascular Disease (Cardiology), Internal Medicine | FL |
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