Christopher M Bradburry, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

L8286 Issued in TX

Practice address

1501 S Coulter St
Amarillo, TX 79106-1770

Phone

(806) 354-1000

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Synergy Emergency Consultants, PLLC

  • General Practice Physician
  • Lewisville, TX
  • NPI 1215440508

  Emergency Medicine, TX

  Medicare reassignment NPD
• Texas Medicine Resources, LLP

  • Emergency Medicine Physician
  • Fort Worth, TX
  • NPI 1376581900

  Emergency Medicine, TX

  Medicare reassignment NPD
• Doctors for Emergency Service

  • Emergency Medicine Physician
  • Newark, DE
  • NPI 1750369674

  Emergency Medicine

  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1043391022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24691",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761241691",
            "telephone_number": "817-451-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S COULTER ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061770",
            "telephone_number": "806-354-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADBURRY",
        "first_name": "CHRISTOPHER",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "L8286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167178601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71232583",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200033610A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "8K6262",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shonda Leigh Boyd, LVN
• Misty Coulette Boyer, CRNA
• David Gregory Brabham, DO
• Kiki D. Brabham, PA
• Scott Bradberry, CST, CSFA
• Ako D Bradford, MD
• Dawn Bradford, MD
• Jade Michael Bradford, DPT
• Jordan Bradford
• Patricia Kay Bradford, M.ED., LPC, MT-BC

• All providers in Amarillo, TX
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.