Active NPI
Bradley D Edgington, DO
- Pulmonary Disease Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 52202
- Practice address
- 1725 E 19TH St Ste 200
Tulsa, OK 74104 - Phone
- (918) 748-8381
- Fax
- (918) 403-6328
- NPI assigned
- Jan 29, 2007
- Last updated
- Nov 19, 2015
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4292 | OK | |
| Internal Medicine Physician | 207R00000X | 104566 | MN | |
| Internal Medicine Physician | 207R00000X | 52202 | MN | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 52202 | MN | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 4292 | OK | |
| Pulmonary Disease Physician | 207RP1001X | 52202 | MN | Primary |
| Pulmonary Disease Physician | 207RP1001X | 4292 | OK |
Addresses
Primary practice location
1725 E 19TH St Ste 200
Tulsa, OK 74104
Mailing address
1725 E 19TH St Ste 200
Tulsa, OK 74104
Phone (918) 748-8381
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
- Pulmonary Disease
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ahs Claremore Regional Hospital LLC
Practice addresses (Care Compare)
10512 N 110TH E Ave
Suite 220
Owasso, OK 74055-6638
Phone (918) 376-8830
1501 N Florence Ave
Claremore, OK 74017-3179
Phone (918) 579-3627
6161 S Yale Ave
Tulsa, OK 74136-1902
Phone (918) 502-4720
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4292 | OK | MD | Physical Therapist |
| 104566 | MN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. John Physicians, Inc | Current | Accepting new patients | |
| Warren Clinic Inc | Current | Accepting new patients | |
| Ahs Oklahoma Physician Group LLC | Internal Medicine | Current | Accepting new patients |
| St. John Physicians, Inc. | Internal Medicine | Current | Accepting new patients |
| Ahs Oklahoma Physician Group, LLC | Current | Accepting new patients | |
| Tulsa Pulmonary and Allergy Consultants Inc | Critical Care Medicine | Past | Accepting new patients |
Locations
1501 N Florence Ave
Ste 201
Claremore, OK 74017
Phone (918) 341-1886
10512 N 110th East Ave
Ste 220
Owasso, OK 74055
Phone (918) 516-1919
20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675
1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585
1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660
6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200
6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125
Dept 1206
Tulsa, OK 74182
Interoperability endpoints
- bedgington299687@direct.saintfrancis.com
- https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Utica Park Clinic
- Family Medicine Physician
- Tulsa, OK
- NPI 1235182775
Internal Medicine
-
- General Practice Physician
- Tulsa, OK
- NPI 1174582282
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1336194406
-
dba Cushing Medical Specialist
- Rural Health Clinic/Center
- Cushing, OK
- NPI 1922683051
-
dba Siggins Memorial Clinic
- Rural Health Clinic/Center
- Barnsdall, OK
- NPI 1033176367
-
- Pulmonary Disease Physician
- Tulsa, OK
- NPI 1235344557
Critical Care Medicine
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hillcrest Hospital Claremore
- General Acute Care Hospital
- Claremore, OK
- NPI 1023398807
-
dba Hillcrest Medical Center
- General Acute Care Hospital
- Tulsa, OK
- NPI 1629057229
-
- General Acute Care Hospital
- Owasso, OK
- NPI 1205846037
-
dba Saint Francis Hospital South
- General Acute Care Hospital
- Tulsa, OK
- NPI 1376561944
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1003039488
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1144228487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447891200000",
"number": "1366588295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 E 19TH ST STE 200",
"city": "TULSA",
"state": "OK",
"postal_code": "74104",
"telephone_number": "918-748-8381",
"fax_number": "918-403-6328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 E 19TH ST STE 200",
"city": "TULSA",
"state": "OK",
"postal_code": "74104",
"telephone_number": "918-748-8381",
"fax_number": "918-403-6328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDGINGTON",
"first_name": "BRADLEY",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2015-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "4292",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MN",
"license": "104566",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MN",
"license": "52202",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MN",
"license": "52202",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "OK",
"license": "4292",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MN",
"license": "52202",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "OK",
"license": "4292",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; 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.