BRAD RANDOLPH DO
NPI 1750841185
Anesthesiology in Jacksonville, FL

NPI Status: Active since March 21, 2019

Contact Information

1 SHIRCLIFF WAY
JACKSONVILLE, FL
ZIP 32204
Phone: (904) 308-7300

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  • Individual
  • Male
  • Years of Experience 7
  • Anesthesiology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About BRAD RANDOLPH

This page provides the complete NPI Profile along with additional information for Brad Randolph, an anesthesiologist established in Jacksonville, Florida with a medical specialization in Anesthesiology and more than 7 years of experience. He graduated from Edward Via Col Of Osteo Medicine-carolinas Campus in 2019. The healthcare provider is registered in the NPI registry with number 1750841185 assigned on March 2019. The practitioner's primary taxonomy code is 207L00000X with license number 20039 (FL). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1750841185
Provider Name
BRAD RANDOLPH DO
Gender
Male
Entity Type
Individual
Location Address
1 SHIRCLIFF WAY JACKSONVILLE, FL 32204
Location Phone
(904) 308-7300
Mailing Address
1 SHIRCLIFF WAY JACKSONVILLE, FL 32204
Mailing Phone
(904) 308-7300
Medical School Name
EDWARD VIA COL OF OSTEO MEDICINE-CAROLINAS CAMPUS
Graduation Year
2019
Is Sole Proprietor?
No
Enumeration Date
03-21-2019
Last Update Date
04-30-2023
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An anesthesiologist like Brad Randolph manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Anesthesiology

Taxonomy Code
207L00000X
Type
Allopathic & Osteopathic Physicians
License No.
20039
License State
FL
Taxonomy Description
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 4 - HMO
  • Bronze 8 - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • Silver 9 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Brad Randolph is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Brad Randolph is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8628435088

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20230531001863

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Brad Randolph is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ASCENSION ST VINCENT'S RIVERSIDE1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
(904) 308-7300Acute Care Hospitals
ASCENSION ST VINCENT'S SOUTHSIDE4201 BELFORT RD
JACKSONVILLE, FL 32216
(904) 296-3700Acute Care Hospitals
ASCENSION ST VINCENT'S CLAY COUNTY1670 ST VINCENTS WAY
MIDDLEBURG, FL 32068
(904) 602-1000Acute Care Hospitals

Reviews for BRAD RANDOLPH DO

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750841185
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001642116
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 6 + 4 + 2 + 1 + 1 + 6 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1750841185 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1730174038 PHIL C PERRY MD
Individual
Anesthesiology1 SHIRCLIFF WAY SUITE 1302
JACKSONVILLE, FL 32204
(904) 308-7420
1386616779 MICHAEL BENJAMIN LEHMAN M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1 SHIRCLIFF WAY DEPT OF PATHOLOGY
JACKSONVILLE, FL 32204
(904) 308-3825
1003874363 MAX T BILLINGSLEY MD
Individual
Emergency Medicine (Emergency Medical Services)1 SHIRCLIFF WAY EMERGENCY DEPARTMENT
JACKSONVILLE, FL 32204
(904) 346-5426
1801943980 BRETT BENNETT CANTRELL MD
Individual
Pathology (Anatomic Pathology)1 SHIRCLIFF WAY DEPT OF PATHOLOGY
JACKSONVILLE, FL 32204
(904) 308-3804
1831246511 ANNE LAURELLE BERNSTEIN MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1 SHIRCLIFF WAY DEPT OF PATHOLOGY
JACKSONVILLE, FL 32204
(904) 308-3813
1528115201DR. RICARDO REGALADO RAMOS M,D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1 SHIRCLIFF WAY DEPT OF PATHOLOGY
JACKSONVILLE, FL 32204
(904) 308-3886
1841452323DR. MICHELE MARIE LOUDY PHARMD
Individual
Pharmacist1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
(904) 308-8829
1083879308MS. CECILIA BERNADETTE HENNIG RD,LD/N,CDE
Individual
Dietitian, Registered1 SHIRCLIFF WAY SUITE 1830
JACKSONVILLE, FL 32204
(904) 308-8794
1568781987MR. RICHARD FRANKLIN GOODWIN CRNA
Individual
Nurse Anesthetist, Certified Registered1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
(904) 308-7300
1942504055ST. VINCENT'S INTENSIVISTS, LLC
Organization
Internal Medicine (Critical Care Medicine)1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
(904) 354-8200
1801169412RICHARD G WALLIS MD PA
Organization
Anesthesiology1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
(904) 421-2119
1780670083 FRANK H GILBERSTADT MD
Individual
Emergency Medicine1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
(904) 308-7300
1275529539MS. TRACEY J EISMONT PA
Individual
Physician Assistant1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
(904) 308-7300
1952397036 WILLIAM G DIETRICH MD
Individual
Emergency Medicine1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
(989) 356-7390
1174502926 JENNIFER WALKER PA
Individual
Physician Assistant1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
(904) 308-7300
1144278011 BRADLEY BERGER MD
Individual
Emergency Medicine (Emergency Medical Services)1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
(904) 308-7300
1831147354 JEFFREY H SAPOLSKY MD
Individual
Emergency Medicine (Emergency Medical Services)1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
(904) 308-7300
1013959709 PAUL D LUCEY MD
Individual
Emergency Medicine1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
(904) 308-7300
1548204282 PHILIP R SHARP MD
Individual
Emergency Medicine1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
(904) 308-7300
1437185410 LISA MARIE RAY PA
Individual
Physician Assistant1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
(904) 308-7300

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750841185, enumerated in the NPI registry as an "individual" on March 21, 2019

The provider is located at 1 Shircliff Way Jacksonville, Fl 32204 and the phone number is (904) 308-7300

The provider's speciality is Anesthesiology with taxonomy code 207L00000X

The provider has more than 7 years of experience. He graduated from Edward Via Col Of Osteo Medicine-carolinas Campus in 2019.

The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The practitioner is affiliated to the following hospital(s): ASCENSION ST VINCENT'S RIVERSIDE, ASCENSION ST VINCENT'S SOUTHSIDE and ASCENSION ST VINCENT'S CLAY COUNTY. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on March 21, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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