BRET CHARLES II BRADFORD – Emergency Medicine Physician, NPI 1801391057

BRET CHARLES II BRADFORD is a healthcare provider. based in Boardman, Ohio. specializing in EMERGENCY MEDICINE. They hold a License No. 34.015134 (OH). The NPI Number for BRET CHARLES II BRADFORD is 1801391057

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
BRET CHARLES II BRADFORD
NPI
1801391057
Phone
(330) 729-8757
Address
8401 MARKET ST
Enumeration Date
29 March 2018
Last Update Date
25 May 2021

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
2406862300
Graduation Year
2018 (8 years ago)
PAC ID
1658623798
Group Practice PAC ID
4688694722
Professional Enrollment ID
I20210601002784
Address ID
OH445126725BO8401XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

2,673 EMERGENCY MEDICINE in OH

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Provider Addresses for BRET CHARLES II BRADFORD

  • Saint Elizabeth Boardman Hospital, 8401, Market Street, Woodworth, Boardman, Mahoning County, Ohio, 44512, United States

    BOARDMAN, OH 445126725

    Phone: (330) 729-8757

    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 1 Open Payments records for all available years, with a total value of $32.

Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.

Last reported payment date: 2023-04-05 • Largest payer in this snapshot: CSL Behring ($32).

Total Amount

$32

General + Research + Ownership

Payments

1

Total payment records

General Amount

$32

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CSL Behring$32
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: 2021-06-01

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
I20210601002784IEmergency MedicineOHTBD

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
99285Emergency department visit with high level of medical decision making364351$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only167158$0
99284Emergency department visit with moderate level of medical decision making7978$0
99291Critical care, first 30-74 minutes5049$0
View full utilization report →

Insurance plans in this area (ZIP 44512)

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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: 4688694722View full group profile
NameSpecialtyState
-OH
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineWV
Nurse PractitionerOH
Emergency MedicineVA
Nurse PractitionerOH
Emergency MedicineNJ
Emergency MedicineIL

Reviews

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Frequently asked questions

How is BRET CHARLES II BRADFORD identified in CMS data?
CMS-hosted NPPES data lists BRET CHARLES II BRADFORD with NPI 1801391057.
Is BRET CHARLES II BRADFORD listed as active for patients and plans?
The listing shows BRET CHARLES II BRADFORD as active in the NPI system.
What is BRET CHARLES II BRADFORD's primary classification?
Emergency Medicine Physician is the headline specialty for BRET CHARLES II BRADFORD here. Clinical services aligned with this taxonomy classification.
What area does BRET CHARLES II BRADFORD serve?
BRET CHARLES II BRADFORD's listing highlights Boardman, Ohio; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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