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DR. BRADLEY ROBERT PRESTIDGE MD NPI 1134126220


NPI Information

NPI: 1134126220
Provider Name: DR. BRADLEY ROBERT PRESTIDGE, MD
Classification: Radiology - 2085R0001X
Entity Type: Individual

Specialization: Radiation Oncology

PECOS Registration: Yes

Address:
5930 CORNERSTONE CT W
SAN DIEGO, CA
ZIP 92121
Phone: (619) 502-9084
Get Directions

DR. Bradley Robert Prestidge, MD is a radiation oncology radiology in San Diego, CA. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. DR. Bradley Robert Prestidge, MD NPI is 1134126220. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5930 CORNERSTONE CT W
SAN DIEGO, CA
ZIP 92121-741
Phone: (619) 502-9084

The NPI 1134126220 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Calculation of radiation therapy dose (HCPCS:77300)
  • Radiation treatment management, 5 treatments (HCPCS:77427)
  • Management of radiation therapy, complex (HCPCS:77263)
  • Radiation treatment devices, design and construction, complex (HCPCS:77334)
  • Management of radiation therapy, simulation, complex (HCPCS:77290)

The enumeration date for this NPI number is 7/5/2005 and was last updated on 9/28/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0001XRadiologyRadiation Oncology70262MINNESOTANo
22085R0001XRadiologyRadiation OncologyH8803TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11134126220MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.