Active NPI
Medrite Health LLC
- Family Medicine Physician
- Okmulgee, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MEDRITE HEALTH LLC
- Practice address
- 1020 E 8TH St
Okmulgee, OK 74447-4726 - Phone
- (918) 756-3114
- NPI assigned
- Mar 30, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Benjamin Bradley, APRN
- Title
- Ceo
- Phone
- (918) 756-3114
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1020 E 8TH St
Okmulgee, OK 74447-4726
Mailing address
1020 E 8TH St
Okmulgee, OK 74447-4726
Phone (918) 756-3114
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200740340A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171214001215 | OK | Part B Supplier - Clinic/Group Practice | 9436417748 |
Receives reassigned benefits from 9 practitioners 1 other NPI on this enrollment Practice locations: Okmulgee, OK |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2158291 | Medrite Health, LLC | Certificate of waiver | Nov 26, 2026 |
National Provider Directory
National Provider DirectoryLocations
109 W 6th St
Okmulgee, OK 74447
Phone (918) 756-3114
Practitioners & affiliated clinicians
Practitioners 9
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.
-
- Family Nurse Practitioner
- Okmulgee, OK
- NPI 1730518788
-
- Family Nurse Practitioner
- Okmulgee, OK
- NPI 1124701438
-
- Family Nurse Practitioner
- Okmulgee, OK
- NPI 1053291179
-
- Family Nurse Practitioner
- Okemah, OK
- NPI 1427525880
-
- Family Nurse Practitioner
- Okmulgee, OK
- NPI 1356200018
-
- Family Nurse Practitioner
- Okemah, OK
- NPI 1568866416
-
- Family Nurse Practitioner
- Broken Arrow, OK
- NPI 1932683984
-
- Nurse Practitioner
- Tulsa, OK
- NPI 1801394101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459296000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738108800000",
"number": "1487017398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 E 8TH ST",
"city": "OKMULGEE",
"state": "OK",
"postal_code": "744474726",
"telephone_number": "918-756-3114",
"fax_number": "877-403-5739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 E 8TH ST",
"city": "OKMULGEE",
"state": "OK",
"postal_code": "744474726",
"telephone_number": "918-756-3114"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDRITE HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-30",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A",
"authorized_official_last_name": "BRADLEY",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "918-756-3114",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200740340A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Okmulgee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.