DR. DAVID MARK JR. BRADBERRY (DO) – Physical Medicine & Rehabilitation Physician, NPI 1558781120

DR. DAVID MARK JR. BRADBERRY (DO) is a healthcare provider. based in Saint paul, Minnesota. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials DO. They hold a License No. 63446 (MN). The NPI Number for DR. DAVID MARK JR. BRADBERRY (DO) is 1558781120

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID MARK JR. BRADBERRY (DO)
NPI
1558781120
Phone
(651) 241-8295
Address
280 SMITH AVE N STE 220
Enumeration Date
22 April 2014
Last Update Date
9 November 2021

Doctor Profile

Medical School Name
LINCOLN MEM UNIV, DEBUSK COL OF OSTEOPATHIC MED
Secondary Phone
6177240287
Graduation Year
2014 (12 years ago)
PAC ID
0345543120
Group Practice PAC ID
2466365820
Professional Enrollment ID
I20211222000063
Address ID
MA021142696BO55XXXSTXX300

Contacts

Secure Messaging
dbradberry398411@excellian.direct.allina.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:12State licenses:2Other namesUpdated within 12 months

306 PHYSICAL MEDICINE AND REHABILITATION in MN

Provider Addresses for DR. DAVID MARK JR. BRADBERRY (DO)

  • 280 SMITH AVE N STE 220

    SAINT PAUL, MN 551022459

    Phone: (651) 241-8295

    Type: Mailing

  • 311 SERVICE RD

    EAST SANDWICH, MA 025371370

    Phone: (508) 833-4160

    Fax: (508) 833-4202

    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: 2021-12-22

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
I20211222000063IPhysical Medicine And RehabilitationMATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes833205$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes236123$0
99239Hospital discharge day management, more than 30 minutes141138$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes125101$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes8787$0
View full utilization report →

Insurance plans in this area (ZIP 55102)

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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: 2466365820View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YMA
P A T H O L O G YPA
Diagnostic RadiologyMA
Nephrology, Internal MedicineMA
P A T H O L O G YMA
P S Y C H I A T R YMA
Cardiac Electrophysiology, Internal Medicine, Cardiovascular Disease (Cardiology)MA
H E M A T O L O G Y/ O N C O L O G YMA
N E U R O L O G YMA
P A T H O L O G YTX

Reviews

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Frequently asked questions

How do payers reference DR. DAVID MARK JR. BRADBERRY (DO)?
For DR. DAVID MARK JR. BRADBERRY (DO), use NPI 1558781120 as the unique 10-digit identifier.
Is DR. DAVID MARK JR. BRADBERRY (DO) still an active registrant?
DR. DAVID MARK JR. BRADBERRY (DO) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. DAVID MARK JR. BRADBERRY (DO)?
At a glance, DR. DAVID MARK JR. BRADBERRY (DO) is tied to Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
Is DR. DAVID MARK JR. BRADBERRY (DO) associated with Saint Paul?
Public fields place DR. DAVID MARK JR. BRADBERRY (DO) around Saint Paul, Minnesota. Always confirm the exact site before visiting.
Can I trust this NPI listing for DR. DAVID MARK JR. BRADBERRY (DO)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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