BRADLEY WAYNE BEELER (M.D.) – Hematology & Oncology Physician, NPI 1801156765

BRADLEY WAYNE BEELER (M.D.) is a healthcare provider. based in Johnson city, Tennessee. specializing in HEMATOLOGY/ONCOLOGY. They hold the professional credentials M.D.. They hold a License No. TRN17301 (FL). The NPI Number for BRADLEY WAYNE BEELER (M.D.) is 1801156765

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY WAYNE BEELER (M.D.)
NPI
1801156765
Phone
(423) 232-6900
Address
1 Professional Park Dr Ste 21
Enumeration Date
24 May 2012
Last Update Date
5 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4237271103
Graduation Year
2012 (14 years ago)
PAC ID
5597990606
Group Practice PAC ID
6002726718
Professional Enrollment ID
I20250804000285
Address ID
TN376832021MO1901XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:14State licenses:2Digital endpointsOther names

337 HEMATOLOGY/ONCOLOGY in TN

Provider Addresses for BRADLEY WAYNE BEELER (M.D.)

  • 1 Professional Park Dr Ste 21

    Johnson City, TN 376046909

    Phone: (423) 232-6900

    Type: Location

  • 3551 ROGER BROOKE DR

    FORT SAM HOUSTON, TX 782344504

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $283.

Total Amount is formed as General ($283) + Research ($0) + Ownership ($0) = $283.

Last reported payment date: 2024-10-08 • Largest payer in this snapshot: Tempus AI, Inc ($246).

Total Amount

$283

General + Research + Ownership

Payments

3

Total payment records

General Amount

$283

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-08

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: 2025-08-04

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
I20221111002156IHematology/OncologyMTTBD
I20250804000285IHematology/OncologyTNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes2424$0
View full utilization report →

Insurance plans in this area (ZIP 37604)

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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: 6002726718View full group profile
NameSpecialtyState
Mental Health CounselorVA
Clinical Social WorkerVA
-TN
-TN
Nurse PractitionerTN
Nurse PractitionerTN
H E M A T O L O G Y/ O N C O L O G YTN
Nurse PractitionerTN
Nurse PractitionerNC
Physician AssistantVA

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Frequently asked questions

What number should I use to identify BRADLEY WAYNE BEELER (M.D.) for billing?
Administrative and clinical systems typically use NPI 1801156765 for BRADLEY WAYNE BEELER (M.D.).
Is BRADLEY WAYNE BEELER (M.D.)'s NPI status active today?
Active status means BRADLEY WAYNE BEELER (M.D.)'s NPI record is not deactivated in the public file.
What services align with BRADLEY WAYNE BEELER (M.D.)'s listing?
BRADLEY WAYNE BEELER (M.D.)'s public classification highlights Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to BRADLEY WAYNE BEELER (M.D.)?
BRADLEY WAYNE BEELER (M.D.) is associated with Johnson City, Tennessee in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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