BRADLEY MADDY (PA-C) – Physician Assistant, NPI 1083090062

BRADLEY MADDY (PA-C) is a healthcare provider. based in Dallas, Texas. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PA09971 (TX). The NPI Number for BRADLEY MADDY (PA-C) is 1083090062

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY MADDY (PA-C)
NPI
1083090062
Phone
(682) 885-6483
Address
PO BOX 733784
Enumeration Date
31 July 2015
Last Update Date
6 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8173320786
Graduation Year
2015 (11 years ago)
PAC ID
8527376466
Group Practice PAC ID
0941346910
Professional Enrollment ID
I20150926000388

Contacts

Secure Messaging
bmaddy207440@CookChildrens.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

Provider Addresses for BRADLEY MADDY (PA-C)

  • PO BOX 733784

    DALLAS, TX 753733784

    Phone: (682) 885-6483

    Fax: (682) 885-3113

    Type: Mailing

  • 909 9TH AVE

    SUITE 208

    FORT WORTH, TX 761043903

    Phone: (817) 332-0786

    Fax: (817) 332-0787

    Type: Mailing

  • 1500 COOPER ST

    FORT WORTH, TX 761042710

    Phone: (682) 885-3955

    Fax: (682) 885-7934

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $2,879.

Total Amount is formed as General ($2,879) + Research ($0) + Ownership ($0) = $2,879.

Last reported payment date: 2024-09-17 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($976).

Total Amount

$2,879

General + Research + Ownership

Payments

32

Total payment records

General Amount

$2,879

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-17

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: 2015-09-26

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
I20150926000388IPhysician AssistantTXTBD

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
49320Diagnostic exam of abdomen using an endoscope2525$0
38747Removal of lymph nodes of abdominal organ1414$0
View full utilization report →

Insurance plans in this area (ZIP 75373)

Loading plans...

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: 0941346910View full group profile
NameSpecialtyState
Surgical Oncology, General SurgeryTX
Physician AssistantTX

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I use this page to confirm BRADLEY MADDY (PA-C)'s NPI?
Yes. BRADLEY MADDY (PA-C) is listed with NPI 1083090062 in the public NPI dataset.
Does CMS list BRADLEY MADDY (PA-C) as active?
Yes — BRADLEY MADDY (PA-C) is active in the NPI listing used on this page.
What is BRADLEY MADDY (PA-C) best known for clinically?
Directory data describes BRADLEY MADDY (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for BRADLEY MADDY (PA-C)?
BRADLEY MADDY (PA-C)'s geographic hint is Dallas, Texas in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

FRANCES L. ELIZONDO (PA)

Physician Assistant
11937 US HIGHWAY 271
NPI: 1245233550

MICHAEL D. SIMS (PA-C)

Physician Assistant
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
NPI: 1427053180
6411 FANNIN ST STE J1-400
NPI: 1518962299
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
NPI: 1861498768
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
NPI: 1649278995

GODWIN O. ADAMS (PA-C)

Physician Assistant
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
NPI: 1154320034

LINDA S. KIENTZ (PA-C)

Physician Assistant
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
NPI: 1023018736

MARIE Y. MAITRE (PA-C)

Physician Assistant
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
NPI: 1295735900

PATRICK A. FOX (PA-C)

Physician Assistant
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
NPI: 1487654109