NPIMap

Individual provider Active NPI

Adam Derek Bradley, D.O.

  • Surgery Physician
  • Tulsa, OK
National Provider Identifier
1790076222
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5188 Issued in OK
Practice address
717 S Houston Ave Ste 500
Tulsa, OK 74127-9008
Phone
(918) 747-5322
NPI assigned
May 2, 2011
Last updated
Jun 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5188 OK Primary

Addresses

Primary practice location

717 S Houston Ave Ste 500
Tulsa, OK 74127-9008

Mailing address

5310 E 31St St Ste 13
Tulsa, OK 74135-5013
Phone (918) 561-5701

Other identifiers 1

IdentifierTypeStateIssuer
200449100AMedicaidOK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121023000665 OK Practitioner - General Surgery 0244480580 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oklahoma State UniversityGroup PAC ID 2769739358, 110 clinicians

Practice addresses (Care Compare)

2345 Southwest Blvd
Tulsa, OK 74107-2705
Phone (918) 561-5701

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.91 of 100Reported as group
Quality
77.78
Promoting interoperability
99
Improvement activities
40
Cost
73.95

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy22
Upper gastrointestinal (GI) endoscopy for acid reflux29
Removal of tissue18
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
One Cura Family Clinic-Stroud, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Adair County Health Center,Inc. CurrentSince Jan 13, 2021 Accepting new patients
Oklahoma State University CurrentSince Jan 1, 2020 Accepting new patients
Hospital Care Consultants Region II Inc CurrentSince Sep 19, 2012 Accepting new patients
Rural Wellness Stroud Clinic Inc Current Accepting new patients
Oklahoma State University CurrentSince Jan 1, 2020 Accepting new patients
Adair County Health Center, Inc. CurrentSince Jan 13, 2021 Accepting new patients
Adair County Health Center, Inc. Current Accepting new patients
Oklahoma State University Medical Trust Past Accepting new patients

Locations

1801 W 3rd St
Elk City, OK 73644
Phone 5802255403677

501 N 14th St
Perry, OK 73077
Phone (580) 336-3541

042 Murray
Stillwater, OK 74078
Phone (405) 744-6021

1401 W Locust St
Ste 102
Stilwell, OK 74960
Phone (918) 696-3101

2308B W Highway 66
Stroud, OK 74079
Phone (918) 968-1642

2345 Southwest Blvd
Tulsa, OK 74107
Phone (918) 582-1980

2401 Southwest Blvd
Tulsa, OK 74107

5310 E 31st St
Ste 13
Tulsa, OK 74135
Phone (918) 561-5701

Dept 2563
Tulsa, OK 74182

Interoperability endpoints

  • Direct secure messaging: abradley51110@direct.saintfrancis.com
  • Direct secure messaging: abradley714750@directa.mercy.net
  • Direct secure messaging: adam.bradley.1@9147.direct.athenahealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1790076222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 E 31ST ST STE 13",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355013",
            "telephone_number": "918-561-5701",
            "fax_number": "918-561-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 S HOUSTON AVE STE 500",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741279008",
            "telephone_number": "918-747-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "ADAM",
        "middle_name": "DEREK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-02",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "5188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200449100A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.