Sean Michael Bradley, MD is a medicare enrolled "Internal Medicine - Sports Medicine" physician in Waxhaw, North Carolina. He went to University Of South Florida College Of Medicine and graduated in 2015 and has 10 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Ochsner Clinic Llc and his current practice location is
2700 S Providence Rd, Waxhaw, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(704) 863-4878.
Sean Michael Bradley is licensed to practice in North Carolina (license number 2025-01640) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1881071041.
Physician's Profile
| Full Name | Sean Michael Bradley |
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| Gender | Male |
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| Speciality | Sports Medicine |
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| Experience | 10 Years |
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| Location | 2700 S Providence Rd, Waxhaw, North Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Sean Michael Bradley attended and graduated from University Of South Florida College Of Medicine in 2015
NPI Data:
- NPI Number: 1881071041
- Provider Enumeration Date: 04/27/2015
- Last Update Date: 07/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 2365721263
- Enrollment ID: I20201103001749
Medical Identifiers
Medical identifiers for Sean Michael Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881071041 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 10077814-1205 (Utah) | Secondary |
| 207RS0010X | Internal Medicine - Sports Medicine | 323284 (Louisiana) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207RS0010X | Internal Medicine - Sports Medicine | 2025-01640 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ochsner Clinic Llc | 8224933619 | 2538 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sean Michael Bradley allows following entities to bill medicare on his behalf.
| Entity Name | Ochsner Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538151428
PECOS PAC ID: 8224933619
Enrollment ID: O20031126000513 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sean Michael Bradley is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Sean Michael Bradley, MD
2700 S Providence Rd,
Waxhaw, NC 28173-6313
Ph: (704) 863-4878 | Sean Michael Bradley, MD
2700 S Providence Rd,
Waxhaw, NC 28173-6313
Ph: (704) 863-4878 |
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