Bradford Jay Stephens MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

18454 Issued in OK

Legal business name

BRADFORD JAY STEPHENS MD PC

Practice address

202 A SW
Miami, OK 74354-6708

Phone

(918) 541-9400

Fax

(918) 541-9411

NPI assigned

Dec 6, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bradford Jay Stephens, M.D.NPI 1366444648

Title

Owner

Phone

(918) 541-9400

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bradford Jay Stephens, M.D.

  • Specialist
  • Miami, OK
  • NPI 1366444648
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1316006562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 A SW",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743547604",
            "telephone_number": "918-541-9400",
            "fax_number": "918-541-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 A SW",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743546708",
            "telephone_number": "918-541-9400",
            "fax_number": "918-541-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADFORD JAY STEPHENS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-541-9400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OK",
            "license": "18454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100048810A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA WAIVE NUMBER",
            "identifier": "37D1002186",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "136644648",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "5975535",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "DH0106",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "G43709",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Ann Bokay, LPC
• Christina Lynn Bond, PRSS
• Audrey Danielle Bosworth, APRN
• Sandra Sue Dale Boulware, LPC, MAC
• Tori Boyd, PTA
• Randall Watson Brady, CRNA
• Brady's Home Health Care,Inc
• Jason Edward Brandon, MS
• Jamie Kathleen Branham-Williams, D.D.S.
• Andra Lea Brannon, PTA

• Specialist in Miami, OK
• Providers in Miami, OK by specialty
• Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.