DR. JOHN BRADFORD INGRAM (M.D.) – Neurology with Special Qualifications in Child Neurology Physician, NPI 1134319619

DR. JOHN BRADFORD INGRAM (M.D.) is a healthcare provider. based in Jackson, Mississippi. specializing in NEUROLOGY, PEDIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. 20177 (MS). The NPI Number for DR. JOHN BRADFORD INGRAM (M.D.) is 1134319619

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN BRADFORD INGRAM (M.D.)
NPI
1134319619
Phone
(601) 984-5211
Address
2500 N STATE ST
Enumeration Date
31 July 2007
Last Update Date
4 February 2014

Doctor Profile

Medical School Name
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2005 (21 years ago)
PAC ID
1153498795
Group Practice PAC ID
1850293036
Professional Enrollment ID
I20080923000460
Address ID
MS392164500Ja2500XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:18State licenses:1Digital endpointsOther names

157 NEUROLOGY in MS

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Provider Addresses for DR. JOHN BRADFORD INGRAM (M.D.)

  • University of Mississippi Medical Center, 2500, North State Street, Woodland Hills, Jackson, Hinds County, Mississippi, 39216, United States

    JACKSON, MS 392164500

    Phone: (601) 984-5211

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 86 Open Payments records for all available years, with a total value of $57,376.

Total Amount is formed as General ($57,376) + Research ($0) + Ownership ($0) = $57,376.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: UCB, Inc. ($57,133).

Total Amount

$57,376

General + Research + Ownership

Payments

86

Total payment records

General Amount

$57,376

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

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: 2008-09-23

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
I20080923000460INeurologyMSTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 39216)

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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: 1850293036View full group profile
NameSpecialtyState
Neurology, Pediatric MedicineLA
Emergency MedicineMS
N E U R O S U R G E R YFL
Certified Registered Nurse Anesthetist (Crna)MS
-MS
General SurgeryMS
-MS
Diagnostic RadiologyIN
-MS
Nurse PractitionerMS

Reviews

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Frequently asked questions

Is there an official ID for DR. JOHN BRADFORD INGRAM (M.D.) in U.S. healthcare records?
The official identifier for DR. JOHN BRADFORD INGRAM (M.D.) is NPI 1134319619.
Is DR. JOHN BRADFORD INGRAM (M.D.) shown as active in public data?
Registry records indicate DR. JOHN BRADFORD INGRAM (M.D.) maintains an active NPI.
How would a patient describe DR. JOHN BRADFORD INGRAM (M.D.)'s focus?
For DR. JOHN BRADFORD INGRAM (M.D.), the primary taxonomy reads as Neurology with Special Qualifications in Child Neurology Physician. Clinical services aligned with this taxonomy classification.
Where in Mississippi is DR. JOHN BRADFORD INGRAM (M.D.) registered?
Use Jackson, Mississippi as the headline location for DR. JOHN BRADFORD INGRAM (M.D.) here.
Can I trust this NPI listing for DR. JOHN BRADFORD INGRAM (M.D.)?
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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