Active NPI
Bradley J Johnson, MD
- Internal Medicine Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25037
- Practice address
- 1000 N Lee Ave
Room 4404
Oklahoma City, OK 73102-1036 - Phone
- (405) 272-6406
- Fax
- (405) 272-6075
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25037 | OK | Primary |
Addresses
Primary practice location
1000 N Lee Ave
Room 4404
Oklahoma City, OK 73102-1036
Mailing address
PO Box 268922
Oklahoma City, OK 73126-8922
Phone (405) 272-6406
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Oklahoma College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 N Lee Ave
Suite 305
Oklahoma City, OK 73103-2620
Phone (405) 272-4978
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25037 | OK | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Physicians LLC | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Texas, PLLC | Internal Medicine | Current | Accepting new patients |
| Mark 5 Care Group, PLLC | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of Texas, PA | Internal Medicine | Current | Accepting new patients |
| Ies HSP Oklahoma LLC | Current | Accepting new patients | |
| Southwestern Medical Center, LLC | Past | Accepting new patients | |
| Saints Medical Group, LLC | Internal Medicine | Past | Accepting new patients |
Locations
5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700
2129 SW 59th St
Oklahoma City, OK 73119
Phone (405) 680-2270
1110 N Classen Blvd
Ste 315
Oklahoma City, OK 73106
1111 N Dewey Ave
Oklahoma City, OK 73103
Phone (405) 272-7900
1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152
1111 N Lee Ave
Ste 305
Oklahoma City, OK 73103
Phone (405) 272-4978
1000 N Lee Ave
Rm 1921
Oklahoma City, OK 73102
Phone (405) 272-6053
1000 N Lee Ave
Ste 29E
Oklahoma City, OK 73102
Phone (405) 272-6065
1000 N Lee Ave
Rm 4404
Oklahoma City, OK 73102
Phone (405) 272-6406
10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760
Interoperability endpoints
- bjohnson37492@direct-ehr-ssmhc.com
Organizations & group practices 8
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.
-
- Hospitalist Physician
- Oklahoma City, OK
- NPI 1588374797
-
- Hospitalist Physician
- Lawton, OK
- NPI 1518724616
-
- Internal Medicine Physician
- Oklahoma City, OK
- NPI 1568722817
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
OK
-
dba SSM Health St Anthony Hospital - Oklahoma City
- Certified Registered Nurse Anesthetist
- Oklahoma City, OK
- NPI 1033283932
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1992722953
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1437195922
Internal Medicine
-
dba Southwestern Medical Center
- General Acute Care Hospital
- Lawton, OK
- NPI 1952359986
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba SSM Health Pharmacy
- Community/Retail Pharmacy
- Oklahoma City, OK
- NPI 1649602293
Hospital
-
dba SSM Health St. Anthony Hospital - Oklahoma City
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1366545311
-
dba St Anthony Shawnee Hospital
- General Acute Care Hospital
- Shawnee, OK
- NPI 1134123193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358985600000",
"number": "1235279373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 268922",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731268922",
"telephone_number": "405-272-6406",
"fax_number": "405-272-6075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N LEE AVE",
"address_2": "ROOM 4404",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731021036",
"telephone_number": "405-272-6406",
"fax_number": "405-272-6075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "BRADLEY",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2013-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "25037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.