Active NPI
Bradley G Christianson, DO, PC
- Anesthesiology Physician
- Tulsa, OK
National Provider Identifier
1154414787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 3425
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100259270A | Medicaid | OK |
National Provider Directory
National Provider DirectoryLocations
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.