BRADLEY ALLEN LANGLEY (MD) – Family Medicine Physician, NPI 1083604722

BRADLEY ALLEN LANGLEY (MD) is a healthcare provider. based in Saint paul, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 26499 (MN). The NPI Number for BRADLEY ALLEN LANGLEY (MD) is 1083604722

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY ALLEN LANGLEY (MD)
NPI
1083604722
Phone
(651) 690-1311
Address
721 SNELLING AVE S
Enumeration Date
25 October 2005
Last Update Date
21 May 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
7635877737
Graduation Year
1980 (46 years ago)
PAC ID
2668500877
Group Practice PAC ID
8628585080
Professional Enrollment ID
I20100510000252
Address ID
MN554131761MI3433XNEXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,076 FAMILY PRACTICE in MN

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Provider Addresses for BRADLEY ALLEN LANGLEY (MD)

  • Parkway Family Physicians, 721, Snelling Avenue South, Highland, Saint Paul, Ramsey County, Minnesota, 55116, United States

    SAINT PAUL, MN 551162228

    Phone: (651) 690-1311

    Fax: (651) 690-2447

    Type: Mailing

  • 3433 BROADWAY ST NE STE 300

    MINNEAPOLIS, MN 554131761

    Phone: (763) 587-7737

    Fax: (763) 587-7069

    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: 2010-05-10

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
I20100510000252IFamily PracticeMNTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes11367$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes9863$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes5350$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes5252$0
99316Nursing facility discharge management, more than 30 minutes2424$0
View full utilization report →

Insurance plans in this area (ZIP 55116)

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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: 8628585080View full group profile
NameSpecialtyState
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN
Family PracticeMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

What is the standard ID for BRADLEY ALLEN LANGLEY (MD) in the U.S.?
In the U.S., BRADLEY ALLEN LANGLEY (MD) is identified by NPI 1083604722.
Does the public listing show BRADLEY ALLEN LANGLEY (MD) as active?
BRADLEY ALLEN LANGLEY (MD)'s NPI record reflects an active status in NPPES.
What services align with BRADLEY ALLEN LANGLEY (MD)'s listing?
BRADLEY ALLEN LANGLEY (MD)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to BRADLEY ALLEN LANGLEY (MD)?
BRADLEY ALLEN LANGLEY (MD) is associated with Saint Paul, Minnesota in the same public data insurers reference.
Can I export BRADLEY ALLEN LANGLEY (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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