Active NPI
Bradley Allen Wilson, M.D.
- Urology Physician
- Norman, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 30538
- Practice address
- 500 E Robinson Suite 1300
Norman Urology Associates, PC
Norman, OK 73071-6694 - Phone
- (405) 360-9966
- Fax
- (405) 360-9905
- NPI assigned
- Jun 25, 2009
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 30538 | OK | Primary |
Addresses
Primary practice location
500 E Robinson Suite 1300
Norman Urology Associates, PC
Norman, OK 73071-6694
Mailing address
500 E Robinson Suite 1300
Norman Urology Associates, PC
Norman, OK 73071-6694
Phone (405) 360-9966
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
- Urology
- Education
- University of Oklahoma College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 E Robinson St
Suite 1300
Norman, OK 73071-6694
Phone (405) 360-9966
Hospital & facility affiliations
- Norman Regional
- Grady Memorial Hospital
- Onecore Health
- Oklahoma Center for Orthopaedic & Multi-SP
- Integris Southwest Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 36 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30538 | OK | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oklahoma Proton Center LLC | Current | Accepting new patients | |
| Norman Urology Associates PC | Current | Accepting new patients | |
| Grady Memorial Hospital | Current | Accepting new patients | |
| Norman Regional Hospital Authority | Past | Accepting new patients | |
| Community Hospital LLC | Past | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients |
Locations
1019 N Council Ave
Ste 1
Blanchard, OK 73010
Phone (405) 485-9321
210 Mary Bailey
Chickasha, OK 73018
Phone (405) 222-9222
2100 W Iowa Ave
Chickasha, OK 73018
Phone (405) 224-2100
2222 W Iowa Ave
Chickasha, OK 73018
2220 W Iowa Ave
Chickasha, OK 73018
Phone (405) 224-2100
3121 S Telephone Rd
Moore, OK 73160
Phone (405) 321-0370
2117 Riverwalk Dr
Moore, OK 73160
Phone (405) 610-1656
901 N Porter Ave
Norman, OK 73071
Phone (405) 307-1500
3300 Healthplex Pkwy
Norman, OK 73072
Phone (405) 329-4102
500 E Robinson St
Ste 1300
Norman, OK 73071
Phone (405) 360-9966
500 E Robinson St
Ste 300
Norman, OK 73071
Phone (405) 360-1118
100 SE 59th St
Oklahoma City, OK 73129
Phone (405) 364-9789
3100 SW 89th St
Oklahoma City, OK 73159
Phone (405) 602-8100
9500 Broadway Ext
Oklahoma City, OK 73114
Phone (405) 475-0600
5901 W Memorial Rd
Oklahoma City, OK 73142
Phone (405) 773-6700
Interoperability endpoints
- bwilson@direct.gradymem.org
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Surgical Hospital of Oklahoma | Hospital | Limited Partnership Interest (1.58%) | Nov 30, 2020 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1033229240
Limited Partnership Interest
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 and National Provider Directory roles.
-
- Pediatric Urology Physician
- Norman, OK
- NPI 1679645055
-
- Radiation Oncology Clinic/Center
- Oklahoma City, OK
- NPI 1114408762
-
- General Acute Care Hospital
- Chickasha, OK
- NPI 1538169198
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1275593337
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- General Acute Care Hospital
- Norman, OK
- NPI 1700882578
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chickasha, OK
- NPI 1538169198
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1851344188
-
- 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
-
- General Acute Care Hospital
- Norman, OK
- NPI 1700882578
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1063489458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405900800000",
"number": "1407084791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 E ROBINSON SUITE 1300",
"address_2": "NORMAN UROLOGY ASSOCIATES, PC",
"city": "NORMAN",
"state": "OK",
"postal_code": "730716694",
"telephone_number": "405-360-9966",
"fax_number": "405-360-9905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E ROBINSON SUITE 1300",
"address_2": "NORMAN UROLOGY ASSOCIATES, PC",
"city": "NORMAN",
"state": "OK",
"postal_code": "730716694",
"telephone_number": "405-360-9966",
"fax_number": "405-360-9905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "BRADLEY",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-25",
"last_updated": "2014-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "OK",
"license": "30538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.