NPI Details
MR. Bradley James Petty, MD is an otolaryngology in Richland, WA with 12 years of experience. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. MR. Bradley James Petty, MD NPI is 1790103976. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2014
The provider's business location address is:
780 SWIFT BLVD STE 301
RICHLAND, WA
ZIP 99352-524
Phone: (509) 942-3178
Fax: (509) 946-1735
The NPI 1790103976 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.
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Diagnostic exam of voice box using a flexible endoscope (HCPCS:31575)
- Diagnostic exam of nasal passages using an endoscope (HCPCS:31231)
- Removal of impacted ear wax (HCPCS:69210)
- Biopsy or removal of nasal polyp or tissue using an endoscope (HCPCS:31237)
- Simple control of nose bleed (HCPCS:30901)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- Removal of nasal air passage under lining tissue (HCPCS:30140)
The enumeration date for this NPI number is 4/3/2014 and was last updated on 6/24/2021.
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 Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207Y00000X | Otolaryngology | | MD60907536 | WASHINGTON | Yes |
| 2 | 390200000X | Student in an Organized Health Care Education/Training Program | | | | No |
