Individual provider Active NPI

Bradley K Warrick, DO

  • Family Medicine Physician
  • Stillwater, OK
National Provider Identifier
1043252158
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05-32073 Issued in KS
Practice address
1202 W Farm Rd
Stillwater, OK 74078-2000
Phone
(405) 744-7665
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 4340 OK
Sports Medicine (Family Medicine) Physician 207QS0010X 4340 OK
Family Medicine Physician 207Q00000X 05-32073 KS Primary

Addresses

Primary practice location

1202 W Farm Rd
Stillwater, OK 74078-2000

Mailing address

3550 S 4TH St
Ste 200
Leavenworth, KS 66048-5009
Phone (407) 595-8154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
05-32073KSMDFamily Medicine Physician
4340OKMDGeneral Care Registered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Resources of Jackson Co Inc Family Medicine Past Accepting new patients
Saint Luke'S Hospital of Trenton Past Accepting new patients
Sheridan Emergency Physician Services of Kansas, PA Past Accepting new patients
Goppert - Trinity Family Care, LLC Family Medicine Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1043252158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 S 4TH ST",
            "address_2": "STE 200",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660485009",
            "telephone_number": "407-595-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 W FARM RD",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740782000",
            "telephone_number": "405-744-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARRICK",
        "first_name": "BRADLEY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "OK",
            "license": "4340",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "OK",
            "license": "4340",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-32073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.