ROBERT M BRADLEY (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1124002704

ROBERT M BRADLEY (M.D.) is a healthcare provider. based in Memphis, Tennessee. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. 15294 (MS). The NPI Number for ROBERT M BRADLEY (M.D.) is 1124002704

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT M BRADLEY (M.D.)
NPI
1124002704
Phone
(901) 725-7551
Address
1211 UNION AVE
Enumeration Date
6 December 2005
Last Update Date
13 May 2025

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9015167182
Graduation Year
1989 (37 years ago)
PAC ID
0648265173
Group Practice PAC ID
5193117364
Professional Enrollment ID
I20040415000629
Address ID
TN381043415ME1265XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

460 PATHOLOGY in TN

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Provider Addresses for ROBERT M BRADLEY (M.D.)

  • 1211, Union Avenue, Medical District, Annesdale Park, Memphis, Shelby County, Tennessee, 38104, United States

    SUITE 300

    MEMPHIS, TN 381046638

    Phone: (901) 725-7551

    Fax: (901) 725-9721

    Type: Mailing

  • 4250 Bethel Rd Dept Of

    Olive Branch, MS 386548737

    Phone: (901) 516-7182

    Fax: (901) 276-5474

    Type: Location

  • 1265 UNION AVE

    DEPT OF PATHOLOGY, 6 SHERARD

    MEMPHIS, TN 38104

    Phone: (901) 516-7182

    Fax: (901) 276-5474

    Type: Location

  • 1211 UNION AVE STE 330

    MEMPHIS, TN 381046655

    Phone:

    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: 2015-11-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20040415000629IPathologyTNTBD
I20151116002675IPathologyMSTBD

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
88341Special stained specimen slides to examine tissue, each additional procedure11552$0
88305Pathology examination of tissue using a microscope, intermediate complexity9469$0
88342Special stained specimen slides to examine tissue, initial procedure8160$0
88360Microscopic genetic analysis of tumor, manual7923$0
88307Pathology examination of tissue using a microscope, moderately high complexity7724$0
View full utilization report →

Insurance plans in this area (ZIP 38104)

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Provider's Procedures

ROBERT M BRADLEY (M.D.) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYTN88312Special stained specimen slides to identify organisms including interpretation and report3921
PATHOLOGYTN88342Tissue or cell analysis by immunologic technique131117

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: 5193117364View full group profile
NameSpecialtyState
P A T H O L O G YTN
P A T H O L O G YTN
P A T H O L O G YTN
P A T H O L O G YTN
P A T H O L O G YIL
P A T H O L O G YMS
P A T H O L O G YMS
P A T H O L O G YMS
P A T H O L O G YIL
P A T H O L O G YTN

Reviews

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Frequently asked questions

Is there an official ID for ROBERT M BRADLEY (M.D.) in U.S. healthcare records?
The official identifier for ROBERT M BRADLEY (M.D.) is NPI 1124002704.
Is ROBERT M BRADLEY (M.D.) shown as active in public data?
Registry records indicate ROBERT M BRADLEY (M.D.) maintains an active NPI.
What clinical focus is listed for ROBERT M BRADLEY (M.D.)?
At a glance, ROBERT M BRADLEY (M.D.) is tied to Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Is ROBERT M BRADLEY (M.D.) located near Memphis?
ROBERT M BRADLEY (M.D.) currently maps to Memphis, Tennessee in this extract.
When was this NPI issued?
Enumeration for ROBERT M BRADLEY (M.D.) is noted as December 6, 2005 where the registry provides it.

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