Bradley Ray Maxwell

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1301 E Jefferson St
Hugo, OK 74743-5217

Phone

(580) 372-1058

NPI assigned

Sep 15, 2020

Last updated

Aug 4, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1447865563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E JEFFERSON ST",
            "city": "HUGO",
            "state": "OK",
            "postal_code": "747435217",
            "telephone_number": "580-372-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E JEFFERSON ST",
            "city": "HUGO",
            "state": "OK",
            "postal_code": "747435217",
            "telephone_number": "580-372-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "BRADLEY",
        "middle_name": "RAY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-15",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "11545",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misti D Lytle, RPH
• Adelene Cheatham Martel, LPC-OK 5589
• Lisa Martin, BHRS
• Julia Ann Mason, BHRS
• Jessica Mathews, LPC
• Mays Hospice Care, Inc
• Julie McBride
• Stacy L McCarty
• Levi Cody McCullough, PHARMD
• Tayjuna Y McGee

• Case Manager/Care Coordinator in Hugo, OK
• Providers in Hugo, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.