BRADLEY D. BEASLEY (NPI# 1821102823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821102823 |
| Entity Type | Individual |
| Full Name | BRADLEY D. BEASLEY |
| Credential | DPM |
| Practice Address |
800 W Boise Cir Suite 150 Broken Arrow OK 74012-4906 |
| Mailing Address |
Po Box 3500 Dept No 618 Claremore OK 74018-3500 |
| Practice Telephone | 9182741557 |
| Practice Fax Number | 9182748557 |
| Mailing Telephone | 9182741557 |
| Mailing Fax Number | 9182748557 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2014-10-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
232 | OK | Podiatric Medicine & Surgery Service Providers |
| Street Address |
800 W BOISE CIR SUITE 150 |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74012-4906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245209113 | Laura Bilbruck | Internal Medicine | 800 W Boise Cir, Suite 160, Broken Arrow, OK 74012-4906 | 2006-03-14 |
| 1225546906 | Tyler Young | Physician Assistant | 800 W Boise Cir, Ste 280, Broken Arrow, OK 74012-4954 | 2018-01-17 |
| 1790238137 | Taylor Fincher Weisz | Nurse Practitioner | 800 W Boise Cir, Broken Arrow, OK 74012-4906 | 2016-08-02 |
| 1700120458 | Healthy Life Pllc | Family Medicine | 800 W Boise Cir, Suite 290, Broken Arrow, OK 74012-4906 | 2012-11-19 |
| 1780972224 | Tulsa Urology Plc | Specialist | 800 W Boise Cir, #210, Broken Arrow, OK 74012-4906 | 2011-07-19 |
| 1578865416 | Patrick Cody Buchanan | Otolaryngology | 800 W Boise Cir, Suite 320, Broken Arrow, OK 74012-4906 | 2010-11-29 |
| 1053567644 | Saad Basheer | Family Medicine | 800 W Boise Cir, Ste 160, Broken Arrow, OK 74012-4906 | 2008-08-14 |
| 1215197280 | Shelley L Hogue | Podiatrist | 800 W Boise Cir, Ste. 150, Broken Arrow, OK 74012-4906 | 2008-06-13 |
| 1174705602 | Restoration Foot & Ankle Pllc | Podiatrist | 800 W Boise Cir, Suite 150, Broken Arrow, OK 74012-4906 | 2007-11-27 |
| 1891859856 | Mindi Marie Bull | Otolaryngology | 800 W Boise Cir, Ste 150, Broken Arrow, OK 74012-4906 | 2006-12-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949139 | Bonnie Jordan James | Pharmacist | 915 E Kenosha St, Broken Arrow, OK 74012 | 2020-07-07 |
| 1548814874 | Flawless Smile Dentistry of Ba Pllc | Dentist | 2319 N. 9th Street, Broken Arrow, OK 74012 | 2019-07-25 |
| 1780236653 | Carefirst Pharmacy Inc. | Pharmacy | 2530 N. Elm Pl., Broken Arrow, OK 74012 | 2019-07-11 |
| 1043871213 | Stacy Lynn Mitchell | Counselor | 2035 W. Houson St., Suite A, Broken Arrow, OK 74012 | 2019-06-27 |
| 1497319297 | Sara Hart | Internal Medicine | 420 W. Stone Wood Drive, Broken Arrow, OK 74012 | 2019-04-26 |
| 1699262386 | Fulps Family Eye Care, LLC | Optometrist | 3300 S Aspen Ave Ste D, Broken Arrow, OK 74012 | 2018-04-18 |
| 1598284358 | Stephanie Sue Mcquarters | Clinical Medical Laboratory | 1840 South Lion Avenue, Broken Arrow, OK 74012 | 2017-09-13 |
| 1477072460 | Kama Rae Gettings | Nurse Practitioner | 4623 W. Kenosha St, Broken Arrow, OK 74012 | 2017-09-12 |
| 1689196727 | Kristen Sherie' Snyder | Case Manager/Care Coordinator | 1324 North Umbrella Avenue, Broken Arrow, OK 74012 | 2017-07-11 |
| 1699216754 | Hillside Wellness Plllp | Chiropractor | 2311 N 9th St, Suite 101, Broken Arrow, OK 74012 | 2017-03-09 |
| Find all providers in zip 74012 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235462821 | Restoration Foot & Ankle Pllc | Podiatrist | 800 W Boise Circle, Suite 270, Broken Arrow, OK 74012 | 2009-09-14 |
| 1477588945 | Metro Tulsa Foot & Ankle Specialist Pllc | Podiatrist | 421 W Washington St, Broken Arrow, OK 74012-6450 | 2006-07-12 |
| 1215197280 | Shelley L Hogue | Podiatrist | 800 W Boise Cir, Ste. 150, Broken Arrow, OK 74012-4906 | 2008-06-13 |
| 1174705602 | Restoration Foot & Ankle Pllc | Podiatrist | 800 W Boise Cir, Suite 150, Broken Arrow, OK 74012-4906 | 2007-11-27 |
| 1942480314 | Justin Troy Albright | Podiatrist | 421 W Washington St, Broken Arrow, OK 74012-6450 | 2007-11-13 |
| 1578677662 | Raymond C Hurlbutt | Podiatrist | 421 W Washington St, Broken Arrow, OK 74012-6450 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568011344 | Oklahoma Foot and Ankle Associates Pllc | Podiatrist | 3700 N Kickapoo Ave Ste 104, Shawnee, OK 74804-0007 | 2019-09-05 |
| 1578046207 | Foot & Ankle Surgeons of Oklahoma Pllc | Podiatrist | 1201 Arlington St Ste C, Ada, OK 74820-4072 | 2018-09-09 |
| 1518443761 | Foot & Ankle Surgeons of Oklahoma Pllc | Podiatrist | 1703 Professional Cir Ste 101, Yukon, OK 73099-6497 | 2018-07-11 |
| 1780171009 | Diabetic Foot and Wound Center of Okfas | Podiatrist | 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 | 2018-04-23 |
| 1215393020 | Scott A. Hosler, D.p.m. | Podiatrist | 4108 Wyckham Pl, Norman, OK 73072-3019 | 2016-01-08 |
| 1679957328 | Alexandra Shendrik Kloeck | Podiatrist | 1501 N Florence Ave Ste 350, Claremore, OK 74017-3275 | 2015-07-13 |
| 1346630779 | Majl Enterprises | Podiatrist | 8829 E 77th St, Tulsa, OK 74133-4927 | 2015-01-22 |
| 1992110092 | Christopher Marshall Seat | Podiatrist | 5500 N Portland Ave, Oklahoma City, OK 73112 | 2014-06-26 |
| 1598181976 | Leila Mae Mckenzie Straehla | Podiatrist | 13316 S Western Ave Ste I, Oklahoma City, OK 73170-7309 | 2014-03-10 |
| 1699019869 | Brooke K Stough Dpm | Podiatrist | 1113 Winchester Ave, Enid, OK 73703-8401 | 2012-11-12 |
| Find all providers with the same taxonomy | ||||
| City | BROKEN ARROW |
| Zip Code | 74012 |
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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.