Active NPI
Bradley Robert Craig, M.D.
- Emergency Medicine Physician
- Omak, WA
National Provider Identifier
1790737310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD00025051
- Practice address
- 810 Jasmine St
Omak, WA 98841-9578 - Phone
- (509) 826-1760
- Fax
- (509) 826-7211
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD00025051 | WA | Primary |
Addresses
Primary practice location
810 Jasmine St
Omak, WA 98841-9578
Mailing address
PO Box 793
Omak, WA 98841-0793
Phone (509) 826-1760
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 254327 | Other | WA | L&I |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00025051 | WA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chelan County Public Hospital District No 2 | Current | Accepting new patients | |
| Chelan County Public Hospital District No 2 | Current | Accepting new patients | |
| Washington Em-I Medical Services PC | Emergency Medicine | Past | Accepting new patients |
| Okanogan Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
Locations
110 S Apple Blossom Dr
Chelan, WA 98816
Phone (509) 682-3300
503 E Highland Ave
Chelan, WA 98816
Phone (509) 682-3300
Organizations & group practices 4
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.
-
- Rural Health Clinic/Center
- Chelan, WA
- NPI 1124438312
-
- Critical Access Hospital
- Chelan, WA
- NPI 1578568853
-
- Emergency Medicine Physician
- Omak, WA
- NPI 1366491508
Emergency Medicine
-
- Emergency Medicine Physician
- Omak, WA
- NPI 1275582413
Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463616000000",
"number": "1790737310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 793",
"city": "OMAK",
"state": "WA",
"postal_code": "988410793",
"telephone_number": "509-826-1760",
"fax_number": "509-826-7211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 JASMINE ST",
"city": "OMAK",
"state": "WA",
"postal_code": "988419578",
"telephone_number": "509-826-1760",
"fax_number": "509-826-7211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIG",
"first_name": "BRADLEY",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2016-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "MD00025051",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "254327",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Omak, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.