Individual provider Active NPI

Bradley S Walker, M.D.

  • General Practice Physician
  • Las Vegas, NV
National Provider Identifier
1194783530
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
7042 Issued in NV
Practice address
1735 N Nellis Blvd Ste G
Las Vegas, NV 89115-3671
Phone
(702) 342-8804
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X G73117 CA
General Practice Physician 208D00000X 7042 NV Primary
Occupational Medicine Physician 2083X0100X G73117 CA
Public Health & General Preventive Medicine Physician 2083P0901X G73117 CA

Addresses

Primary practice location

1735 N Nellis Blvd Ste G
Las Vegas, NV 89115-3671

Mailing address

383 N 1340 E
Provo, UT 84606-5169
Phone (702) 528-4297

Other identifiers 1

IdentifierTypeStateIssuer
1194783530MedicaidNV

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20060808000174 NV Practitioner - Family Practice 6709899966 Reassigns benefits to 2 organizations
I20080425000134 AZ Practitioner - Family Practice 6709899966 Reassigns benefits to 1 organization
I20090204000390 CA Practitioner - General PracticePractitioner - Other (Physician) 6709899966 Reassigns benefits to 7 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7042NVMDGeneral Practice Dentistry
G73117CAMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Person Care Clinic Family Medicine CurrentSince Oct 15, 2025 Accepting new patients
Tri-State Community Healthcare Center CurrentSince Feb 23, 2021 Accepting new patients
First Person Care Clinic CurrentSince Oct 1, 2025 Accepting new patients
Northeast Valley Health Corporation CurrentSince Mar 3, 2020 Accepting new patients
Clinicas de Salud del Pueblo, Inc Current Accepting new patients
Permanente Medical Group Inc Family Medicine CurrentSince Sep 26, 2022 Accepting new patients
County of Los Angeles CurrentSince Apr 1, 2015 Accepting new patients
County of Monterey Family Medicine CurrentSince Mar 10, 2025 Accepting new patients
Northeast Valley Health Corporation CurrentSince Mar 3, 2020 Accepting new patients
Tri-State Community Healthcare Center CurrentSince Feb 23, 2021 Accepting new patients
Permanente Medical Group Inc Family Medicine Current Accepting new patients
County of Monterey Behavioral Health CurrentSince Mar 10, 2025 Accepting new patients
First Person Care Clinic Family Medicine Current Accepting new patients
County of Monterey Current Accepting new patients
Northeast Valley Health Corporation Current Accepting new patients
Comprehensive Community Health Centers Inc Family Medicine Current Accepting new patients
Comprehensive Community Health Centers, Inc Family Medicine CurrentSince May 4, 2024 Accepting new patients
First Person Care Clinic CurrentSince Oct 1, 2025 Accepting new patients
County of Los Angeles Current Accepting new patients
Comprehensive Community Health Centers Inc Family Medicine CurrentSince May 4, 2024 Accepting new patients
Tri-State Community Healthcare Center CurrentSince May 8, 2023 Accepting new patients
County of Los Angeles CurrentSince Apr 1, 2015 Accepting new patients
Permanente Medical Group, Inc CurrentSince Sep 26, 2022 Accepting new patients
Clinicas de Salud del Pueblo Inc. CurrentSince Apr 1, 2024 Accepting new patients
Clinicas de Salud del Pueblo, Inc. CurrentSince Apr 1, 2024 Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients

Locations (25 of 40)

8700 S Highway 95
Mohave Valley, AZ 86440
Phone (928) 768-7113

2226 S Rural Rd
Tempe, AZ 85282
Phone (480) 730-6514

11888 Bartlett Ave
Adelanto, CA 92301
Phone (760) 530-9944

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

4501 Sand Creek Rd
Antioch, CA 94531
Phone (925) 813-6420

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

223 W Cole Blvd
Calexico, CA 92231
Phone (760) 357-2020

1108 N Oleander Ave
Compton, CA 90222
Phone (310) 763-2244

852 E Danenberg Dr
El Centro, CA 92243
Phone (760) 352-2257

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

801 S Chevy Chase Dr
Ste 250
Glendale, CA 91205
Phone (818) 265-2259

1535 E Colorado St
Glendale, CA 91205

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

123 W Manchester Blvd
Inglewood, CA 90301
Phone (310) 419-5325

335 E Avenue I
Lancaster, CA 93535
Phone (661) 471-4000

1704 Colorado Blvd
Los Angeles, CA 90041
Phone (323) 256-4116

5059 York Blvd
Los Angeles, CA 90042
Phone (323) 344-4144

820 W Broadway St
Needles, CA 92363
Phone (730) 326-0222

12157 Victory Blvd
North Hollywood, CA 91606
Phone (818) 755-8000

7843 Lankershim Blvd
North Hollywood, CA 91605
Phone (818) 765-8656

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: bradley.walker@3856.securemail.prognocis.com
  • Direct secure messaging: bradleys.walkermd.p1@direct.afh.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HCGDDD
  • Direct secure messaging: bradley.walker.p1@direct.nevhc.nextgenshare.com

Organizations & group practices 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1194783530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 N 1340 E",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846065169",
            "telephone_number": "702-528-4297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 N NELLIS BLVD STE G",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891153671",
            "telephone_number": "702-342-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "BRADLEY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G73117",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NV",
            "license": "7042",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "G73117",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "G73117",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194783530",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4501 Sand Creek Rd",
            "city": "Antioch",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945318687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.