Individual provider Active NPI

Bradley John Laitinen, M.D.

  • Emergency Medicine Physician
  • Murrieta, CA
National Provider Identifier
1619197043
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
R4582 Issued in TX
Practice address
20311 Stone PT
Murrieta, CA 92562-8668
Phone
(906) 281-2265
NPI assigned
Apr 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X C56028 CA
Emergency Medicine Physician 207P00000X R4582 TX Primary

Addresses

Primary practice location

20311 Stone PT
Murrieta, CA 92562-8668

Mailing address

20311 Stone PT
Murrieta, CA 92562-8668
Phone (906) 281-2265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20171108002138 TX Practitioner - Emergency Medicine 2264526821 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C56028CAMDEmergency Medicine Physician
R4582TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midland Emergency Managers PLLC Emergency Medicine CurrentSince Apr 1, 2021 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Sep 1, 2025 Accepting new patients

Locations

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

400 Rosalind Redfern Grover Pkwy
Ste 100
Midland, TX 79701
Phone (432) 687-1949

400 Rosalind Redfern Grover Pkwy
Midland, TX 79701
Phone (432) 221-4850

3501 Knickerbocker Rd
San Angelo, TX 76904
Phone (325) 947-6361

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1619197043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20311 STONE PT",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925628668",
            "telephone_number": "906-281-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20311 STONE PT",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925628668",
            "telephone_number": "906-281-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAITINEN",
        "first_name": "BRADLEY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "C56028",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "R4582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.