Kevin G. Bradley, CH

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

3321 Issued in OK

Practice address

640 Alexander Dr Ste 107
Eufaula, OK 74432-4013

Phone

(918) 689-2424

Fax

(918) 618-4778

NPI assigned

Sep 14, 2006

Last updated

Mar 27, 2008By the provider in NPPES

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

Other names 1

• Kevin Garner Bradley Professional name

Medicare fee-for-service enrollment

Enrolled in OK, TX2 enrollments

Enrollment records 2

Merit-based Incentive Payment System (MIPS)

Final score

85.12 of 100Reported as group

Quality

83.76

Promoting interoperability

100

Improvement activities

40

Cost

56.64

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Creek Nation Hospital & Clinics

  dba Creek Nation Health System

  • Clinic/Center
  • Muskogee, OK
  • NPI 1366593923
  Medicare reassignment NPD
• Creek Nation Hospital & Clinics

  dba Creek Nation Community Hospital

  • Family Medicine Physician
  • Okemah, OK
  • NPI 1467053173

  TX

  Medicare reassignment NPD
• Kevin G. Bradley P.C.

  dba Professional Office of Dr Kevin G Bradley PC,Inc

  • Sports Physician Chiropractor
  • Eufaula, OK
  • NPI 1922106590
  Authorized official Same address or phone
• Creek Nation Hospital & Clinics

  dba Muscogee (Creek) Nation Orthopedic Clinic - NI

  • Clinic/Center
  • Okmulgee, OK
  • NPI 1326446188
  NPD
• Creek Nation Hospital & Clinics

  dba Muscogee Healing and Recovery Center

  • Clinic/Center
  • Muskogee, OK
  • NPI 1922873611
  NPD
• Bee Well Family Healthcare LLC

  • Family Nurse Practitioner
  • Eufaula, OK
  • NPI 1972298107
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1609971241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 930",
            "address_2": "640 ALEXANDER SUITE 107",
            "city": "EUFAULA",
            "state": "OK",
            "postal_code": "744320930",
            "telephone_number": "918-689-2424",
            "fax_number": "918-618-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 ALEXANDER DR STE 107",
            "city": "EUFAULA",
            "state": "OK",
            "postal_code": "744324013",
            "telephone_number": "918-689-2424",
            "fax_number": "918-618-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "KEVIN",
        "middle_name": "G.",
        "credential": "CH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "OK",
            "license": "3321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEVIN",
            "last_name": "BRADLEY",
            "middle_name": "GARNER",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Shelly D Boland, LMSW
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• Charity Brady, PT
• Shirley Jean Breedlove
• Amy Brown
• Theresa J Buckmaster, BSW
• Robin L Burge, BSW

• Sports Physician Chiropractor in Eufaula, OK
• Providers in Eufaula, OK by specialty
• Sports Physician Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.

Verify at the official NPI Registry.