Individual provider Active NPI

Chris D Bradshaw, D.O.

  • Emergency Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1255686697
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5189 Issued in OK
Practice address
4401 SW 44TH St
Oklahoma City, OK 73119-2899
Phone
(405) 388-1818
NPI assigned
Jul 23, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 5189 OK
Emergency Medicine Physician 207P00000X 5189 OK Primary

Addresses

Primary practice location

4401 SW 44TH St
Oklahoma City, OK 73119-2899

Mailing address

12610 Blanton View Ave
Wayne, OK 73095-3139
Phone (405) 443-0211

Other practice location 1

13921 N Meridian Ave Ste 100
Oklahoma City, OK 73134-1106
Phone (405) 752-9600

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120914000523 OK Practitioner - General PracticePractitioner - Family PracticePractitioner - Preventive MedicinePractitioner - Emergency Medicine 7416105523 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5189OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Total Health & Wellness, LLC CurrentSince Aug 18, 2025 Accepting new patients

Locations

502 E Cherokee Ave
Sallisaw, OK 74955
Phone (918) 775-7100

611 W Cherokee St
Ste D
Wagoner, OK 74467
Phone (918) 201-4147

611 W Cherokee St
Wagoner, OK 74467
Phone (918) 201-4147

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1255686697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12610 BLANTON VIEW AVE",
            "city": "WAYNE",
            "state": "OK",
            "postal_code": "730953139",
            "telephone_number": "405-443-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 SW 44TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731192899",
            "telephone_number": "405-388-1818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13921 N Meridian Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731341106",
            "country_code": "US",
            "telephone_number": "405-752-9600",
            "fax_number": "405-752-9650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADSHAW",
        "first_name": "CHRIS",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-23",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OK",
            "license": "5189",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "5189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.