Bradley Alan Spangler

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4033 Issued in OK

Practice address

9309 E Reno Ave
Midwest City, OK 73130-3321

Phone

(405) 732-3353

Fax

(405) 732-3397

NPI assigned

Dec 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Stover Physical Therapy PC

  • Physical Therapist
  • Oklahoma City, OK
  • NPI 1386796548
  NPD (past)

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198108800000",
    "number": "1457535817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9309 E RENO AVE",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731303321",
            "telephone_number": "405-732-3353",
            "fax_number": "405-732-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9309 E RENO AVE",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731303321",
            "telephone_number": "405-732-3353",
            "fax_number": "405-732-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANGLER",
        "first_name": "BRADLEY",
        "middle_name": "ALAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-20",
        "last_updated": "2007-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "4033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Dawn Smith, M.S. CCC-SLP
• Jessica Bre' Solis, D.C.
• Sooner Medical Management
• Elaine Soter, M.D.
• Soul Survivor Supportive Living FDN
• Claire Sparks
• Madison Lynn Sparks, PA-C
• Emily Spears, RBT
• Specialty Hospital of Midwest City Operator LLC
• Spectra Family Medical Clinic LLC

• Physical Therapist in Midwest City, OK
• Providers in Midwest City, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.