Sage Bradbury Commons

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SAGE BRADBURY COMMONS

Doing business as

Bradbury Commons

Practice address

1601 Academy Rd
Ponca City, OK 74604-4409

Phone

(580) 370-7132

NPI assigned

Aug 26, 2025

Last updated

Aug 26, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly D Green

Title

Ceo

Phone

(918) 812-6968

Specialties & licenses 2

Addresses

Other names 1

• BRADBURY COMMONS Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780562835. Details of each certification follow.

• CCN 375521 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 375521

Legal name

SAGE BRADBURY COMMONS

Doing business as

BRADBURY COMMONS

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 23, 2008

Last certification

Jul 3, 2024

Beds

68

Ownership / control type

Limited Liability Corporation

Organization structure

CorporationProprietary

Enrollment address

1601 Academy Rd
Ponca City, OK 74604-4409

Nursing home name

BRADBURY COMMONS

Listed as

Bradbury CommonsCCN 375521 · All quality measures

Overall star rating

4 of 5

Health inspections

5 of 5

Staffing

1 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Mar 23, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6865.1 residents per day on average

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Ryan J Reynolds, D.O.

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1114459278

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Melinda Rother Allen, DO

  • Internal Medicine Physician
  • Ponca City, OK
  • NPI 1396737888

  Nursing home

  Care Compare affiliation
• Christen Denise Ground, D.O.

  • Family Medicine Physician
  • Ponca City, OK
  • NPI 1689021842

  Nursing home

  Care Compare affiliation
• John W Holden, M.D.

  • Internal Medicine Physician
  • Ponca City, OK
  • NPI 1427034792

  Nursing home

  Care Compare affiliation
• Ryan J Reynolds, D.O.

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1114459278

  Nursing home

  Care Compare affiliation
• Aaron Paul Wilcox, D.O.

  • Family Medicine Physician
  • Ponca City, OK
  • NPI 1518195221

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1756166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756166400000",
    "number": "1780562835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 ACADEMY RD",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746044409",
            "telephone_number": "580-370-7132",
            "fax_number": "918-812-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 ACADEMY RD",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746044409",
            "telephone_number": "580-370-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE BRADBURY COMMONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-26",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-812-6968",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRADBURY COMMONS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lyndse Richelle Rust
• Ryan a Johnson DDS PLLC
• S V Vaidya MD PC
• Miguel Leonardo Sanchez
• Brenda Alane Sanders, MA, CCC-SLP
• Sean Patrick Satterfield, M.ED. CCC-SLP
• Cecelia May Schieber, R.D.
• Michael S Schiff, M.D.

• Skilled Nursing Facility in Ponca City, OK
• Providers in Ponca City, OK by specialty
• Skilled Nursing Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.