Tonya Bradford, MS,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2542 Issued in OK

Practice address

928 N York St
Suite 20
Muskogee, OK 74403-3123

Phone

(918) 913-9109

Fax

(918) 913-9112

NPI assigned

Sep 19, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1316390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384387200000",
    "number": "1003198771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 N YORK ST",
            "address_2": "SUITE 20",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744033123",
            "telephone_number": "918-913-9109",
            "fax_number": "918-913-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 N YORK ST",
            "address_2": "SUITE 20",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744033123",
            "telephone_number": "918-913-9109",
            "fax_number": "918-913-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "TONYA",
        "credential": "MS,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-19",
        "last_updated": "2013-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "2542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100649160A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hollie Rae Boyer
• BP Med PLLC
• Brad Hoopes DDS, PC
• Gary Bradford
• Stephen Bradford
• Edward G Bradley Jr., LPC
• Linda Bradshaw, RN,BSN
• Julia Brakefield-Pino, APRN-CNP
• Devin Brakefield
• Karen Jeanette Branson

• Speech-Language Pathologist in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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.