Individual provider Active NPI

Bradley A Lister, MD

  • Orthopaedic Surgery Physician
  • Marshalltown, IA
National Provider Identifier
1699768978
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
33486 Issued in IA
Practice address
312 East Main
McFarland Clinic, PC
Marshalltown, IA 50158-0000
Phone
(641) 752-0654
Fax
(641) 844-2206
NPI assigned
Aug 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 33486 IA Primary

Addresses

Primary practice location

312 East Main
McFarland Clinic, PC
Marshalltown, IA 50158-0000

Mailing address

5541 Highway 1
Marksville, LA 71351-2650
Phone (641) 752-0654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, 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
I20210208001207 LA Practitioner - Orthopedic Surgery 9739238130 Reassigns benefits to 1 organization
I20230907001856 TX Practitioner - Orthopedic Surgery 9739238130 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33486IAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CLHG-Avoyelles LLC CurrentSince Jan 1, 2021 Accepting new patients
GPCH, LLC CurrentSince Jul 17, 2023 Accepting new patients
CLHG-Avoyelles LLC CurrentSince Jan 1, 2021 Accepting new patients
GPCH, LLC CurrentSince Jul 17, 2023 Accepting new patients
CLHG-Avoyelles LLC Current Accepting new patients
Marshalltown Orthopaedics PC Orthopaedic Surgery PastSince Sep 1, 1996 Accepting new patients
Crawford County Memorial Hospital Past Accepting new patients
Iowa Spine Care PLC Orthopaedic Surgery Past Accepting new patients

Locations

5541 Highway 1
Marksville, LA 71351
Phone (318) 240-7240

4239 Highway 1192
Ste 300
Marksville, LA 71351
Phone (318) 253-0677

4231 Highway 1192
Marksville, LA 71351
Phone (318) 240-6000

50 Medical Plz
Borger, TX 79007
Phone (806) 467-5350

100 Medical Dr
Borger, TX 79007
Phone (806) 273-1100

Interoperability endpoints

  • Direct secure messaging: bradley.lister.p1@direct.gpspecialtyclinic.nextgenshare.com

Organizations & group practices 8

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": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1699768978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5541 HIGHWAY 1",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713512650",
            "telephone_number": "641-752-0654",
            "fax_number": "641-844-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 EAST MAIN",
            "address_2": "MCFARLAND CLINIC, PC",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501580000",
            "telephone_number": "641-752-0654",
            "fax_number": "641-844-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISTER",
        "first_name": "BRADLEY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IA",
            "license": "33486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshalltown, IA

Sources for this page

Verify at the official NPI Registry.