Active NPI
Bradley John Martin, RN, CNS
- Adult Health Clinical Nurse Specialist
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Clinical Nurse Specialist
- License
- R0071709
- Practice address
- 4401 S Western Ave
Oklahoma City, OK 73109-3413 - Phone
- (405) 713-7403
- Fax
- (405) 713-2974
- NPI assigned
- Mar 19, 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 |
|---|---|---|---|---|
| Adult Health Clinical Nurse Specialist | 364SA2200X | R0071709 | OK | Primary |
Addresses
Primary practice location
4401 S Western Ave
Oklahoma City, OK 73109-3413
Mailing address
5300 N Independence Ave
Suite 280
Oklahoma City, OK 73112-5556
Phone (405) 713-7403
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Clinical Nurse Specialist (CNS)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4401 S Western Ave
Oklahoma City, OK 73109-3413
Phone (405) 636-7000
Hospital & facility affiliations
- Integris Southwest Medical Center
- Integris Baptist Medical Center, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0071709 | OK | MD | Adult Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integris Ambulatory Care Corporation | Current | Accepting new patients |
Locations
3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815
5300 N Independence Ave
Ste 280
Oklahoma City, OK 73112
Phone (405) 552-0155
3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589
4401 S Western Ave
Oklahoma City, OK 73109
Phone (405) 636-7000
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.
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1750333936
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Oklahoma City, OK
- NPI 1598837221
-
- Psychiatric Hospital Unit
- Spencer, OK
- NPI 1659443372
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1831103654
-
- Psychiatric Hospital Unit
- Spencer, OK
- NPI 1881760759
-
- Mammography Clinic/Center
- Oklahoma City, OK
- NPI 1336155779
Hospital
-
- Rehabilitation Hospital Unit
- Oklahoma City, OK
- NPI 1336252717
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1457372625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500508800000",
"number": "1306960778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 N INDEPENDENCE AVE",
"address_2": "SUITE 280",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731125556",
"telephone_number": "405-713-7403",
"fax_number": "405-713-2974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 S WESTERN AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731093413",
"telephone_number": "405-713-7403",
"fax_number": "405-713-2974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "BRADLEY",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "RN, CNS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2017-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "OK",
"license": "R0071709",
"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 Jul 20, 2017; 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.