MR. BRADLEY JAMES MASSEY (D.O.) – Family Medicine Physician, NPI 1639164502

MR. BRADLEY JAMES MASSEY (D.O.) is a healthcare provider. based in Troy, Missouri. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 111051 (MO). The NPI Number for MR. BRADLEY JAMES MASSEY (D.O.) is 1639164502

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
MR. BRADLEY JAMES MASSEY (D.O.)
NPI
1639164502
Phone
(636) 528-6755
Address
PO BOX 249
Enumeration Date
15 September 2005
Last Update Date
15 September 2011

Doctor Profile

Medical School Name
KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Secondary Phone
6366686824
Graduation Year
1996 (30 years ago)
PAC ID
5395775159
Group Practice PAC ID
5193040020
Professional Enrollment ID
I20050822000368
Address ID
MO633893451WI35XXXPLZX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,330 FAMILY PRACTICE in MO

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Provider Addresses for MR. BRADLEY JAMES MASSEY (D.O.)

  • PO BOX 249

    TROY, MO 633790249

    Phone: (636) 528-6755

    Fax: (636) 528-6965

    Type: Mailing

  • 1003, East Cherry Street, Troy, Lincoln County, Missouri, 63379, United States

    TROY, MO 633791503

    Phone: (636) 528-6755

    Fax: (636) 528-6965

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 41 Open Payments records for all available years, with a total value of $834.

Total Amount is formed as General ($834) + Research ($0) + Ownership ($0) = $834.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: ABBVIE INC. ($237).

Total Amount

$834

General + Research + Ownership

Payments

41

Total payment records

General Amount

$834

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

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: 2005-08-22

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
I20050822000368IFamily PracticeMOTBD

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 63379)

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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: 5193040020View full group profile
NameSpecialtyState
Nurse PractitionerMO
Internal Medicine, Pediatric MedicineMO
Emergency MedicineMO
Nurse PractitionerMO
Certified Registered Nurse Anesthetist (Crna)MO
-MO
-MO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

How do I look up MR. BRADLEY JAMES MASSEY (D.O.) by NPI?
Use NPI 1639164502 when you need to reference MR. BRADLEY JAMES MASSEY (D.O.) in forms, claims, or directories.
Is MR. BRADLEY JAMES MASSEY (D.O.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does MR. BRADLEY JAMES MASSEY (D.O.) treat or focus on?
Patients typically see MR. BRADLEY JAMES MASSEY (D.O.) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place MR. BRADLEY JAMES MASSEY (D.O.)?
The snapshot lists Troy, Missouri for MR. BRADLEY JAMES MASSEY (D.O.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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