Individual provider Active NPI

Gregory J Bradley, D.O

  • Diagnostic Radiology Physician
  • Tulsa, OK
National Provider Identifier
1881135804
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
6368 Issued in OK
Practice address
4500 S Garnett Rd Ste 112
Tulsa, OK 74146-5201
Phone
(918) 935-3550
NPI assigned
Mar 9, 2017
Last updated
Mar 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 6368 OK
Diagnostic Radiology Physician 2085R0202X 77075 WI
Diagnostic Radiology Physician 2085R0202X 6368 OK Primary

Addresses

Primary practice location

4500 S Garnett Rd Ste 112
Tulsa, OK 74146-5201

Mailing address

4500 S Garnett Rd Ste 112
Tulsa, OK 74146-5201
Phone (918) 935-3550

Other practice location 1

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone (414) 955-0950

Other practice location 2

1905 N Calhoun Rd
Brookfield, WI 53005-5005
Phone (262) 754-8000

Other practice location 3

W180N8085 Town Hall Rd
Menomonee Falls, WI 53051-3518
Phone (262) 257-3060

Other practice location 4

3200 Pleasant Valley Rd
West Bend, WI 53095-9274
Phone (262) 836-5533

Other practice location 5

4455 S 108th St
Greenfield, WI 53228-2504
Phone (414) 427-5310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, 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
I20200504000122 OK Practitioner - Diagnostic RadiologyPractitioner - Internal Medicine 6608207824 Reassigns benefits to 3 organizations
I20221013000072 TX Practitioner - Diagnostic Radiology 6608207824 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Oklahoma State University College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Oklahoma Radiology Physicians LLCGroup PAC ID 5294184453, 3 clinicians

Practice addresses (Care Compare)

3500 E Frank Phillips Blvd
Bartlesville, OK 74006-2411
Phone (918) 333-7200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6368OKMDDiagnostic Radiology Physician
77075WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation CurrentSince Sep 30, 2022 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Nov 21, 2025 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Nov 19, 2025 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Nov 13, 2025 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Nov 21, 2025 Accepting new patients
Imaging Partners of Tulsa LLC Diagnostic Radiology CurrentSince Nov 3, 2025 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Oct 24, 2022 Accepting new patients
Cher LLC Diagnostic Radiology CurrentSince Nov 21, 2025 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Nov 21, 2025 Accepting new patients
Creek Nation Hospital & Clinics Current Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Nov 21, 2025 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince May 17, 2023 Accepting new patients
Laguna Healthcare Corporation CurrentSince Sep 12, 2023 Accepting new patients
Cher LLC Diagnostic Radiology CurrentSince Jul 16, 2026 Accepting new patients
Northeast Oklahoma Radiology Physicians LLC Diagnostic Radiology CurrentSince Oct 13, 2023 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Oct 24, 2022 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince May 17, 2023 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Nov 21, 2025 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Nov 21, 2025 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Nov 21, 2025 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Nov 21, 2025 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Nov 21, 2025 Accepting new patients
Cher LLC Diagnostic Radiology CurrentSince Nov 21, 2025 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Nov 18, 2025 Accepting new patients
Choctaw Nation of Oklahoma Current Accepting new patients
The Medical College of Wisconsin, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Cher LLC Diagnostic Radiology CurrentSince Nov 21, 2025 Accepting new patients
Colorado Springs Imaging LLC Diagnostic Radiology CurrentSince Nov 21, 2025 Accepting new patients
Cherokee Nation CurrentSince Sep 30, 2022 Accepting new patients
Cher LLC Diagnostic Radiology CurrentSince Nov 20, 2025 Accepting new patients
Cher LLC Diagnostic Radiology CurrentSince Nov 21, 2025 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Nov 18, 2025 Accepting new patients
Colorado Springs Imaging LLC Diagnostic Radiology CurrentSince Nov 21, 2025 Accepting new patients
Cherokee Nation Current Accepting new patients
Creek Nation Hospital & Clinics CurrentSince May 17, 2023 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Nov 21, 2025 Accepting new patients
Laguna Healthcare Corporation CurrentSince Sep 12, 2023 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Pawnee IHS Pharmacy PastSince Sep 21, 2025 Accepting new patients

Locations (25 of 35)

1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981

2661 SE Washington Blvd
Bartlesville, OK 74006
Phone (918) 331-3020

3500 E Frank Phillips Blvd
Bartlesville, OK 74006
Phone (918) 331-1555

1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204

101 S Moore Ave
Claremore, OK 74017
Phone (918) 342-6200

410 N M St
Hugo, OK 74743
Phone (580) 326-7561

902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1127 S George Nigh Expy
McAlester, OK 74501
Phone (800) 349-7026

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

237 S Locust St
Nowata, OK 74048
Phone (918) 273-3102

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440

205 Dallas St
Talihina, OK 74571
Phone (918) 567-3636

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

Dept 1038
Tulsa, OK 74182

Dept 1467
Tulsa, OK 74182

Dept 2269
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Interoperability endpoints

  • Direct secure messaging: gbradley274610@ahs.direct-ci.com

Organizations & group practices 42

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.

View all 42

Hospital & facility affiliations 6

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": "1489017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1881135804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 S GARNETT RD STE 112",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741465201",
            "telephone_number": "918-935-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 S GARNETT RD STE 112",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741465201",
            "telephone_number": "918-935-3550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9200 W Wisconsin Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532263522",
            "country_code": "US",
            "telephone_number": "414-955-0950",
            "fax_number": "414-771-3466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1905 N Calhoun Rd",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "WI",
            "postal_code": "530055005",
            "country_code": "US",
            "telephone_number": "262-754-8000",
            "fax_number": "262-780-3396",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "W180N8085 Town Hall Rd",
            "address_purpose": "LOCATION",
            "city": "Menomonee Falls",
            "state": "WI",
            "postal_code": "530513518",
            "country_code": "US",
            "telephone_number": "262-257-3060",
            "fax_number": "262-518-5052",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 Pleasant Valley Rd",
            "address_purpose": "LOCATION",
            "city": "West Bend",
            "state": "WI",
            "postal_code": "530959274",
            "country_code": "US",
            "telephone_number": "262-836-5533",
            "fax_number": "262-836-7301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4455 S 108th St",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "WI",
            "postal_code": "532282504",
            "country_code": "US",
            "telephone_number": "414-427-5310",
            "fax_number": "414-427-5311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "GREGORY",
        "middle_name": "J",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-09",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "OK",
            "license": "6368",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "77075",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "6368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.