Organization Active NPI

Bradley G Christianson, DO, PC

  • Anesthesiology Physician
  • Tulsa, OK
National Provider Identifier
1154414787
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
3425 Issued in OK
Legal business name
BRADLEY G CHRISTIANSON, DO, PC
Practice address
4800 S 109TH East Ave
Tulsa, OK 74146-5822
Phone
(405) 701-3418
Fax
(405) 701-3451
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Authorized official

Name
Dr. Bradley Gene Christianson, D.O.
Title
President
Phone
(405) 701-3418

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 3425 OK Primary

Addresses

Primary practice location

4800 S 109TH East Ave
Tulsa, OK 74146-5822

Mailing address

PO Box 21568
Tulsa, OK 74121-1568
Phone (405) 701-3418

Other identifiers 1

IdentifierTypeStateIssuer
100259270AMedicaidOK

National Provider Directory

National Provider Directory

Locations

1014 24th Ave NW
Ste 110
Norman, OK 73069

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1154414787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21568",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741211568",
            "telephone_number": "405-701-3418",
            "fax_number": "405-701-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 S 109TH EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741465822",
            "telephone_number": "405-701-3418",
            "fax_number": "405-701-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY G CHRISTIANSON, DO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "CHRISTIANSON",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-701-3418",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "3425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100259270A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.