BRADLEY W. CHURCH (O.D.) – Optometrist, NPI 1790762821

BRADLEY W. CHURCH (O.D.) is a healthcare provider. based in Culpeper, Virginia. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 0618000722 (VA). The NPI Number for BRADLEY W. CHURCH (O.D.) is 1790762821

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY W. CHURCH (O.D.)
NPI
1790762821
Phone
(540) 825-8220
Address
15189 MONTANUS DR
Enumeration Date
29 December 2005
Last Update Date
12 February 2011

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
5403733021
Graduation Year
1997 (29 years ago)
PAC ID
5294762894
Group Practice PAC ID
1456898782
Professional Enrollment ID
I20050726000455
Address ID
VA224015085FR2101XPKWY500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,052 OPTOMETRY in VA

Provider Addresses for BRADLEY W. CHURCH (O.D.)

  • 15189 MONTANUS DR

    CULPEPER, VA 227011679

    Phone: (540) 825-8220

    Fax: (866) 691-2912

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 51 Open Payments records for all available years, with a total value of $2,760.

Total Amount is formed as General ($2,760) + Research ($0) + Ownership ($0) = $2,760.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Alcon Vision LLC ($1,743).

Total Amount

$2,760

General + Research + Ownership

Payments

51

Total payment records

General Amount

$2,760

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2005-07-26

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
I20050726000455IOptometryVATBD

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 minutes694692$0
99213Established patient office or other outpatient visit, 20-29 minutes229192$0
92083Exam of visual field with extended testing156137$0
92250Photography of the retina143142$0
92014Established patient complete exam of visual system138138$0
View full utilization report →

Insurance plans in this area (ZIP 22701)

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Provider's Procedures

BRADLEY W. CHURCH (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYVA92083Measurement of field of vision during daylight conditions5149
OPTOMETRYVA92134Diagnostic imaging of retina1111

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: 1456898782View full group profile
NameSpecialtyState
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA

Reviews

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Frequently asked questions

Can I use this page to confirm BRADLEY W. CHURCH (O.D.)'s NPI?
Yes. BRADLEY W. CHURCH (O.D.) is listed with NPI 1790762821 in the public NPI dataset.
Is BRADLEY W. CHURCH (O.D.) listed as active for patients and plans?
The listing shows BRADLEY W. CHURCH (O.D.) as active in the NPI system.
What healthcare role does BRADLEY W. CHURCH (O.D.) hold?
Scheduling teams often label BRADLEY W. CHURCH (O.D.) under Optometrist. Clinical services aligned with this taxonomy classification.
Does BRADLEY W. CHURCH (O.D.) list a practice location?
Patients near Culpeper, Virginia may find BRADLEY W. CHURCH (O.D.) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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