Individual provider Active NPI

John Bradford Patterson

  • Family Nurse Practitioner
  • Red Oak, OK
National Provider Identifier
1043157902
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
206293 Issued in OK
Practice address
4868 NE 1174TH Ave
Red Oak, OK 74563-5023
Phone
(918) 471-8611
NPI assigned
Apr 30, 2026
Last updated
Jul 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 206293 OK Primary

Addresses

Primary practice location

4868 NE 1174TH Ave
Red Oak, OK 74563-5023

Mailing address

4868 NE 1174TH Ave
Red Oak, OK 74563-5023
Phone (918) 471-8611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Grapevine, TX 76099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
206293OKMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1777507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1043157902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4868 NE 1174TH AVE",
            "city": "RED OAK",
            "state": "OK",
            "postal_code": "745635023",
            "telephone_number": "918-471-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4868 NE 1174TH AVE",
            "city": "RED OAK",
            "state": "OK",
            "postal_code": "745635023",
            "telephone_number": "918-471-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "JOHN",
        "middle_name": "BRADFORD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-04-30",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "206293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Oak, OK

Sources for this page

Verify at the official NPI Registry.