Bradley E. Samuelson, MD PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

BRADLEY E. SAMUELSON, MD PA

Practice address

1004 Brook Ave
Wichita Falls, TX 76301-5007

Phone

(940) 687-7100

Fax

(940) 687-7104

NPI assigned

Sep 21, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lili Samuelson

Title

Manager

Phone

(940) 687-7100

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elsa C Pearce, PA-C

  • Surgical Physician Assistant
  • Wichita Falls, TX
  • NPI 1083784102
  NPD (past)
• Sandra Vergara, DDS, PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Wichita Falls, TX
  • NPI 1528000841
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1003002262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 BROOK AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015007",
            "telephone_number": "940-687-7100",
            "fax_number": "940-687-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 BROOK AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015007",
            "telephone_number": "940-687-7100",
            "fax_number": "940-687-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY E. SAMUELSON, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "SAMUELSON",
        "authorized_official_first_name": "LILI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "940-687-7100"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Boyd, MD
• Micah Boyer, MD
• Chrystyna Maria Lee Boyle, LVN
• Judy Bradelym
• Braden Partners LP
• Allen Brajer, M.D.
• Lucille McManis Brandon, PT
• Lashawna April Brandt, COTA
• Clark Wesley Brazil, MD
• Breaking Barriers Therapy Center

• Cardiovascular Disease Physician in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.