Bradley Donald Tourtlotte, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

G-076763 Issued in CA

Practice address

3663 Arch Rd
Suite 400
Stockton, CA 95215-8315

Phone

(209) 943-2202

Fax

(209) 943-2209

NPI assigned

Jan 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Specialty

General PracticeAlso: Internal Medicine, Physical Medicine and Rehabilitation

Education

Eastern Virginia Medical School, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mark D Cook, MD, IncGroup PAC ID 9830347707, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Oak Valley Hospital District Hospital, Oakdale, CA, CCN 050067

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1601

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.

• Mark D Cook, MD, Inc

  • Family Medicine Physician
  • Oakdale, CA
  • NPI 1588927628
  Medicare reassignment Care Compare group NPD
• Alshifa Medical Group Inc

  dba Trinity Urgent Care & Occupational Health

  • Urgent Care Clinic/Center
  • Stockton, CA
  • NPI 1093960403
  Medicare reassignment NPD
• Central California Wellness & Restoration

  • Family Medicine Physician
  • Modesto, CA
  • NPI 1437688009
  NPD
• Tulsa Bone & Joint Associates PC

  • Orthopaedic Surgery Physician
  • Tulsa, OK
  • NPI 1154373132
  NPD (past)

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

• Oak Valley Hospital District

  dba Oak Valley District Hospital

  • General Acute Care Hospital
  • Oakdale, CA
  • NPI 1346381415
  Care Compare affiliation

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902955859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7020 BURNING TREE CT",
            "city": "RIVERBANK",
            "state": "CA",
            "postal_code": "953673328",
            "telephone_number": "209-613-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 ARCH RD",
            "address_2": "SUITE 400",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952158315",
            "telephone_number": "209-943-2202",
            "fax_number": "209-943-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOURTLOTTE",
        "first_name": "BRADLEY",
        "middle_name": "DONALD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G-076763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Total Renal Care Inc (Delta Sierra Dialysis Center)
• Santanya Paula Touch
• Sarah Touchstone
• Ava Rose Tounou
• Touro University Medical Group
• Cesar Vincent Tovar
• Delanie Olivia Towan
• Mariah Ann Towle, B.A.
• Tiffany Towle
• Ulysses Townsell Jr.

• General Practice Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• 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.