EMMA PENDLETON BRADLEY HOSPITAL – Psychiatric Hospital, NPI 1225017486
Psychiatric Hospital
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for EMMA PENDLETON BRADLEY HOSPITAL
15 LA SALLE SQ
PROVIDENCE, RI 029031814
Phone: (401) 444-6779
Fax: (401) 444-6912
Type: Mailing
Bradley Hospital, 1011, Veterans Memorial Parkway, Silver Spring, East Providence, Providence County, Rhode Island, 02915, United States
EAST PROVIDENCE, RI 029155061
Phone: (401) 432-1000
Type: Location
117, Ellenfield Street, Providence, Providence County, Rhode Island, 02905, United States
SUITE 101
PROVIDENCE, RI 029054513
Phone: (401) 444-6779
Fax: (401) 444-6912
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: 2008-03-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-10-31 (225 days ago).
Enrollment records
1
Earliest due date
2025-10-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20080318000711 | O | Hospital | RI | 2025-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 02903)
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