DR. ADAM DEREK BRADLEY (NPI# 1790076222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790076222 |
| Entity Type | Individual |
| Full Name | DR. ADAM DEREK BRADLEY |
| Credential | D.O. |
| Practice Address |
802 S Jackson Ave #505 Tulsa OK 74127-9015 |
| Mailing Address |
802 S Jackson Ave Ste 505 Tulsa OK 74127-9060 |
| Practice Telephone | 9187475322 |
| Mailing Telephone | 9187475322 |
| Mailing Fax Number | 9187467604 |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2019-02-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 5188 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200449100A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194153452 | Adam Bradley | Specialist/Technologist, Other | 3280 B 1/2 Rd, Grand Junction, CO 81503-9468 | 2013-10-24 |
| 1093159626 | Adam Charles Bradley | Technician/Technologist | 1937 Old Main St, Suite 2, Maysville, KY 41056-8956 | 2013-04-25 |
| Street Address |
802 S JACKSON AVE #505 |
| City | TULSA |
| State | OK |
| Zip Code | 74127-9015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972564169 | Daniel A Nader | Internal Medicine | 802 S Jackson Ave, Tulsa, OK 74127-9015 | 2006-03-29 |
| 1346784683 | Osu Cardiology | Internal Medicine | 802 S Jackson Ave, Suite 225, Tulsa, OK 74127-9015 | 2016-12-06 |
| 1629437546 | Bret Colter Haines | Surgery | 802 S Jackson Ave, Suite 505, Tulsa, OK 74127-9015 | 2016-02-19 |
| 1902262421 | Lp Dullye Management, Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 802 S Jackson Ave, Suite 200, Tulsa, OK 74127-9015 | 2016-01-13 |
| 1922491935 | Osu Center for Health Sciences | Clinic/Center | 802 S Jackson Ave, Suite 210, Tulsa, OK 74127-9015 | 2015-03-16 |
| 1144650854 | Osu Center for Health Sciences | Clinic/Center | 802 S Jackson Ave, Suite 210, Tulsa, OK 74127-9015 | 2013-11-15 |
| 1467748467 | Osu Center for Health Sciences | Clinic/Center | 802 S Jackson Ave, Suite 312, Tulsa, OK 74127-9015 | 2011-06-28 |
| 1548556541 | Osu Center for Health Sciences | Clinic/Center | 802 S Jackson Ave, Suite 110, Tulsa, OK 74127-9015 | 2011-06-28 |
| 1013238872 | Osu Center for Health Sciences | Clinic/Center | 802 S Jackson Ave, Suite 400, Tulsa, OK 74127-9015 | 2010-06-16 |
| 1679746895 | C. Michael Johnson, D.o,inc. | Urology | 802 S Jackson Ave, Suite 110, Tulsa, OK 74127-9015 | 2008-04-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366966699 | Tarell Lynell Earl | Case Manager/Care Coordinator | 602 N. 28th W. Pl., Tulsa, OK 74127 | 2017-07-28 |
| 1023538014 | Milton Dean IIi | Counselor | 1234 N Rosedale, Tulsa, OK 74127 | 2017-06-21 |
| 1740700988 | Lisa Lee Ann Gilliland | Case Manager/Care Coordinator | 2001 W Ute Pl, Tulsa, OK 74127 | 2017-06-20 |
| 1114456498 | Kevin Thomas Jackson | Counselor | 310 S 49th W Ave, Tulsa, OK 74127 | 2017-06-08 |
| 1427406180 | Byron Conrad Dixon Jr. | Case Manager/Care Coordinator | 551 N. 28th W. Ave., Tulsa, OK 74127 | 2016-06-02 |
| 1548621568 | Brandon Worth | Student in an Organized Health Care Education/Training Program | 717 S. Houston Ave., Suite 400, Tulsa, OK 74127 | 2016-03-18 |
| 1073987467 | Jo Lowe | Social Worker | 420 S. Lawton Ave. Apt 315, Tulsa, OK 74127 | 2015-11-23 |
| 1154718575 | William Hughes | Health Educator | 3101 W Edison, Tulsa, OK 74127 | 2015-04-23 |
| 1801289665 | Kristyn Janelle Zrenda | Student in an Organized Health Care Education/Training Program | 717 S. Houston Ave., Suite 400, Tulsa, OK 74127 | 2015-03-17 |
| 1831595719 | Mallory Yarbrough | Counselor | 3005 N 24th West Ave, Tulsa, OK 74127 | 2014-11-05 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702127 | Advanced Surgical Assisting, LLC | Surgery | 4012 E 108th St, Tulsa, OK 74137-6707 | 2020-05-20 |
| 1376016329 | Oklahoma Acute Care Surgical Specialists LLC | Surgery | 4016 E 27th St, Tulsa, OK 74114-5908 | 2019-01-02 |
| 1831540608 | Eric Waetjen | Surgery | 4502 E 51st St, 2g06, Tulsa, OK 74135-3702 | 2016-06-23 |
| 1538418504 | Daniel Kent Towsley | Surgery | 2502 E 45th St, Tulsa, OK 74105-5147 | 2012-09-05 |
| 1235420043 | Ty Douglas Kirkpatrick | Surgery | 1725 E 19th St Ste 800, Tulsa, OK 74104-5464 | 2011-04-27 |
| 1689965741 | John Skelly Watson | Surgery | 803 S Jackson Ave, Suite 130, Tulsa, OK 74127-9010 | 2011-04-25 |
| 1528386984 | William Aaron Hanner | Surgery | 5555 E 71st St Ste 7250, Tulsa, OK 74136-6554 | 2010-05-11 |
| 1316181720 | Patrick James Ross | Surgery | 6475 S Yale Ave Ste 406, Tulsa, OK 74136-7818 | 2009-04-29 |
| 1831375500 | Nicole Marie Castellese | Surgery | 1723 E 15th St Ste 100, Tulsa, OK 74104-4608 | 2008-01-12 |
| 1508063975 | Dr Richard Lee Cooper PC | Surgery | 10131 S Yale Ave Ste 200, Tulsa, OK 74137-6012 | 2007-06-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.