Melville Douglas Bradley, MD
Individual provider Active NPI General Practice Physician · McAlester, OK
NPI 1487734083 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487734083
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 0101055257 (VA)
- Practice address
- 1 C Tree Rd BLDG 5
McAlester Army Ammunition Plant
McAlester, OK 74501-9002 - Phone
- (918) 420-6495
- Fax
- (918) 420-7497
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101055257 | VA | MD | Emergency Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 0101055257 | VA | Yes |
Addresses
Primary practice location
1 C Tree Rd BLDG 5
McAlester Army Ammunition Plant
McAlester, OK 74501-9002
Mailing address
1 C Tree Rd BLDG 5
McAlester Army Ammunition Plant
McAlester, OK 74501-9002
Other providers in McAlester, OK
- Danielle Kalyn Bowers
- Cameron Box
- Edlyne Boyer
- Michael Frank Boyer
- Linda Elaine Bradish
- Jason Lee Brake
- Michele Deann Brake
- Misty Quinn Branam
- Tonia Rene'E Branson
- Joe Brawley
All providers in McAlester, OK · General Practice Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.