BRADLEY MCCLINTIC (MD) – Emergency Medicine Physician, NPI 1235879735

BRADLEY MCCLINTIC (MD) is a healthcare provider. based in Lubbock, Texas. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. V9659 (TX). The NPI Number for BRADLEY MCCLINTIC (MD) is 1235879735

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY MCCLINTIC (MD)
NPI
1235879735
Phone
(806) 775-9700
Address
602 Indiana Ave
Enumeration Date
31 March 2022
Last Update Date
3 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8067759700
Graduation Year
2022 (4 years ago)
PAC ID
7719364769
Group Practice PAC ID
4284617507
Professional Enrollment ID
I20250604002617
Address ID
TX794153364LU602XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:4State licenses:2Digital endpointsOther names

4,050 EMERGENCY MEDICINE in TX

Provider Addresses for BRADLEY MCCLINTIC (MD)

  • 602 Indiana Ave

    Lubbock, TX 794153364

    Phone: (806) 775-9700

    Type: Location

  • 2401 S 31ST ST

    TEMPLE, TX 765080001

    Phone: (254) 724-2111

    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: 2025-06-04

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
I20250604002617IEmergency MedicineTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79415)

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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: 4284617507View full group profile
NameSpecialtyState
Family PracticeTX
Pediatric MedicineTX
Physician AssistantTX
Nurse PractitionerTX
Emergency MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
Emergency MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What NPI should I save for BRADLEY MCCLINTIC (MD)?
Save NPI 1235879735 if you need a stable reference for BRADLEY MCCLINTIC (MD).
Is BRADLEY MCCLINTIC (MD) active in the national directory?
BRADLEY MCCLINTIC (MD)'s public NPI profile is in an active state.
What kind of provider is BRADLEY MCCLINTIC (MD)?
The page reflects Emergency Medicine Physician for BRADLEY MCCLINTIC (MD). Clinical services aligned with this taxonomy classification.
Where does public data place BRADLEY MCCLINTIC (MD)?
The snapshot lists Lubbock, Texas for BRADLEY MCCLINTIC (MD); download NPPES for the complete set.
Is BRADLEY MCCLINTIC (MD) a real provider?
This page reflects official NPPES data for NPI 1235879735. Always confirm identity and privileges with the practice and licensing boards.

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