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Active NPI 1801808662 Individual Practitioner Female Practitioner

Dr. Lisa Ann Whitty Bradley , MD

Surgery - Plastic and Reconstructive Surgery • Munster, IN

Professional Overview & Biography Verified Profile Summary

Dr. Lisa Whitty Bradley, MD is a registered healthcare professional specializing in Surgery - Plastic and Reconstructive Surgery in Munster, IN. Practice services are available at 7905 CALUMET AVE under active NPI credentials.

Frequently performed procedures and clinical services include residence visit for established patient with moderate level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7905 Calumet Ave

Munster, IN 463212549

Telephone 2198367506
Associated Practice Facility / Clinic
🏢 Physicians Optical Center Llc Facility NPI 1962555177

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Munster, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 36.0 Yrs
State Avg: 24.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Munster, IN (48 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
52.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
11 11 $261.94 $124.78

Medical Specialties & State Licenses

CMS Verified: 2021-03-16
Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License IN 01079522A

A surgeon who specializes in plastic and reconstructive surgery.

Plastic Surgery

NUCC Taxonomy Code: 208200000X

State License IN 01079522B

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Surgery

NUCC Taxonomy Code: 208600000X

State License IN 01079522A

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0361102441 (IL)
Commercial Insurance / Payer ID Bcbs
7215166 (IL)

Secondary Practice Locations

3601 Sw 160th Ave, Suite 250

Miramar, FL 330276308

Phone: 8778667123

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Mark Grevious , MD

Plastic Surgery

NPI 1194727909

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location December 11, 2020

Registered at 7905 CALUMET AVE, MUNSTER, IN 463212549 (Tel: 2198367506)

📍
Updated Business Mailing Address December 11, 2020

Registered at PO BOX 781076, DETROIT, MI 482781076 (Tel: 3175284800)

📍
Updated Practice Location February 11, 2019

Registered at 5454 HOHMAN AVE, HAMMOND, IN 463201931 (Tel: 3126352262)

👤
Provider Name / Credentials Updated February 11, 2019

Recorded as LISA WHITTY BRADLEY, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2019

Plastic Surgery (License #01079522B in IN)

NPI Profile Active July 18, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 18, 2014

Registered at 3601 SW 160TH AVE, SUITE 250, MIRAMAR, FL 330276308 (Tel: 8778667123)

📍
Updated Business Mailing Address July 18, 2014

Registered at PO BOX 3217, OAK PARK, IL 603033217 (Tel: 8609221176)

👤
Provider Name / Credentials Updated July 18, 2014

Recorded as LISA WHITTY, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2014

Family Medicine (License #036110244 in IL)

🟢
Initial NPI Registration & Enumeration August 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801808662
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 12, 2006
Last Update: March 16, 2021
Sole Proprietor: Yes

Mailing Address

Po Box 781076

Detroit, MI 482781076

Phone: 3175284800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.