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Active NPI 1063463552 Individual Practitioner Male Practitioner

Dr. Jonathan F. Bradley , MD

Emergency Medicine • Jackson, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Bradley, MD is a certified Emergency Medicine practicing in Jackson, MI. With approximately 27 years of clinical experience since graduating from Wayne State University School Of Medicine in 1999, Dr. Bradley delivers high-quality medical care to the local community at 205 N EAST AVE.

Dr. Bradley is affiliated with Emergency Professionals Of Indiana Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

205 N East Ave

Jackson, MI 492011753

Telephone 5177884800
Fax 5177966410
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Wayne State University School Of Medicine

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Jackson, MI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
27 Yrs +12.9 yrs vs City Avg
City Avg: 14.1 Yrs
State Avg: 17.8 Yrs
Regional Practice Density
57 Specialists

Practicing in Jackson, MI (3151 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
91.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bradley (27 Years) 27 Yrs
Jackson Specialty Average (14.1 Years) 14.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
220 217 $1778.58 $170.74
99284 Emergency department visit with moderate level of medical decision making
80 79 $1287.08 $117.97
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
76 74 $61.75 $7.98
99291 Critical care, first 30-74 minutes
62 60 $2467.58 $208.38

Medical Specialties & State Licenses

CMS Verified: 2025-11-03
Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License MI 4301074228

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License IN 01081482A

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
104866256 (MI)
Commercial Insurance / Payer ID Rr Mediacre
P00315403 (MI)

Hospital & Practice Group Affiliations

Emergency Professionals Of Indiana Pc

7950 W Jefferson Blvd, Fort Wayne, IN 468044140

Phone: 2604352699

Secondary Practice Locations

Po Box 635004

Cincinnati, OH 452635004

Phone: 8889526772

2520 E Dupont Rd

Fort Wayne, IN 468251675

Phone: 2604163000

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Samantha Mishra , DO

Student in an Organized Health Care Education/Training Program

NPI 1003267303

Doctor of Osteopathic Medicine (D.O.)

NPI 1023198918

Doctor of Pharmacy (Pharm.D.)

Dr. James Chauncey , MD

Internal Medicine - Pulmonary Disease

NPI 1053377044

Doctor of Medicine (M.D.)

Amanda Ahrens , CRNA

Nurse Anesthetist, Certified Registered

NPI 1093033474

Certified Registered Nurse Anesthetist

Heidi Hosler-Lathrop , LMSW

Social Worker - Clinical

NPI 1093970030

Licensed Master Social Worker

NPI 1114104288

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

8 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2025

Emergency Medicine (License #4301074228 in MI)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2022

Emergency Medicine (License #01081482A in IN)

NPI Profile Active August 04, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location August 04, 2008

Registered at 205 N EAST AVE, JACKSON, MI 492011753 (Tel: 5177884800)

📍
Updated Business Mailing Address August 04, 2008

Registered at DEPATMENT 272801, PO BOX 67000, DETROIT, MI 482672728 (Tel: 5178416913)

👤
Provider Name / Credentials Updated August 04, 2008

Recorded as JONATHAN BRADLEY, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2008

Emergency Medicine (License #4301074228 in MI)

🟢
Initial NPI Registration & Enumeration May 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: 1063463552
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 12, 2006
Last Update: November 03, 2025
Sole Proprietor: No

Mailing Address

Depatment 272801, Po Box 67000

Detroit, MI 482672728

Phone: 5178416913

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.