BRADLEY W WINE MD NPI 1578126561

NPI Details

Bradley W Wine, MD is a family medicine in Valdez, AK with 7 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Bradley W Wine, MD NPI is 1578126561. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduation Year:2019

The provider's business location address is:

911 MEALS AVE
VALDEZ, AK
ZIP 99686-046
Phone: (907) 835-2249

The NPI 1578126561 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.

• Emergency department visit for problem of moderate severity (HCPCS:99283)
• Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
• Emergency department visit for problem of high severity (HCPCS:99284)

The enumeration date for this NPI number is 4/16/2019 and was last updated on 8/23/2025.

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: