BRADFORD JR. BENNETT (MD) – Diagnostic Radiology Physician, NPI 1609308105
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
532 DIAGNOSTIC RADIOLOGY in OR
Provider Addresses for BRADFORD JR. BENNETT (MD)
1460 G St
Springfield, OR 974774112
Phone: (816) 800-9020
Type: Location
1110 N Sarah DeWitt Dr
Gonzales, TX 786293311
Phone: (816) 800-9020
Type: Location
The Boulevard, Riverlights, Little Chester, Derby, East Midlands, England, DE1 2BB, United Kingdom
DEPT. OF MEDICINE, 3 EAST
CHESTER, PA 190133902
Phone: (610) 874-6114
Type: Mailing
816 W CANNON ST
FORT WORTH, TX 761043146
Phone: (817) 321-0404
Type: Mailing
815 PENNSYLVANIA AVE
FORT WORTH, TX 761042224
Phone: (817) 321-0404
Type: Location
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: 2026-03-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 9 Medicare enrollment records; no due dates published yet.
Enrollment records
9
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230615002915 | I | Diagnostic Radiology | TX | TBD |
| I20230816001853 | I | Diagnostic Radiology | NH | TBD |
| I20240904003075 | I | Diagnostic Radiology | KS | TBD |
| I20240923004072 | I | Diagnostic Radiology | OR | TBD |
| I20250424000272 | I | Diagnostic Radiology | MT | TBD |
| I20250707002944 | I | Diagnostic Radiology | KY | TBD |
| I20250722002888 | I | Diagnostic Radiology | WV | TBD |
| I20251029003252 | I | Diagnostic Radiology | CO | TBD |
| I20260302003510 | I | Diagnostic Radiology | UT | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 70450 | Ct scan head or brain without contrast | 496 | 473 | $0 |
| 72125 | Ct scan of upper spine without contrast | 200 | 189 | $0 |
| 70551 | Mri scan of brain without contrast | 119 | 116 | $0 |
| 70496 | Ct scan of blood vessels of head with contrast | 115 | 111 | $0 |
| 70498 | Ct scan of blood vessels of neck with contrast | 113 | 112 | $0 |
Insurance plans in this area (ZIP 97477)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | NV | |
| Orthopedic Surgery | CO | |
| Diagnostic Radiology, Interventional Radiology | OR | |
| P O D I A T R Y | UT | |
| Diagnostic Radiology | OR | |
| P O D I A T R Y | WA | |
| Physician Assistant | UT | |
| Emergency Medicine | NV | |
| Family Practice | PA | |
| Mental Health Counselor | UT |
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