Individual provider Active NPI

Bradley P Kropp, MD

  • Pediatric Urology Physician
  • Fort Worth, TX
National Provider Identifier
1578531828
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
R0052 Issued in TX
Practice address
1129 6TH Ave
Fort Worth, TX 76104-4306
Phone
(682) 303-0376
Fax
(682) 303-0377
NPI assigned
Mar 12, 2006
Last updated
Oct 6, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 19716 OK
Pediatric Urology Physician 2088P0231X 19716 OK
Pediatric Urology Physician 2088P0231X R0052 TX Primary

Addresses

Primary practice location

1129 6TH Ave
Fort Worth, TX 76104-4306

Mailing address

PO Box 99371
Fort Worth, TX 76199-0371
Phone (682) 885-1855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060123000677 OK Practitioner - Urology 5092739615 Reassigns benefits to 1 organization
I20160928000757 TX Practitioner - UrologyPractitioner - Pediatric Medicine 5092739615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9900 Broadway Ext
Suite 100
Oklahoma City, OK 73114-6323
Phone (405) 286-0755

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19716OKMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Okc Kids Urology PLLC CurrentSince Jun 10, 2020 Accepting new patients
Integris Baptist Medical Center Inc Past Accepting new patients
McBride Clinic Orthopedic Hospital, LLC Past Accepting new patients

Locations

9900 Broadway Ext
Ste 100
Oklahoma City, OK 73114
Phone (405) 286-0755

Interoperability endpoints

  • Direct secure messaging: bkropp166669@direct.integrisok.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1578531828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99371",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761990371",
            "telephone_number": "682-885-1855",
            "fax_number": "682-885-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 6TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044306",
            "telephone_number": "682-303-0376",
            "fax_number": "682-303-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROPP",
        "first_name": "BRADLEY",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-12",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OK",
            "license": "19716",
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "OK",
            "license": "19716",
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "TX",
            "license": "R0052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.