Bradley Joe Reddick, DO
Individual provider Active NPI Orthopaedic Surgery Physician · Oklahoma City, OK
NPI 1932310596 · NPPES record last updated Jul 10, 2019
Key facts
- NPI
- 1932310596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 4326 (OK)
- Practice address
- 8100 S Walker Ave BLDG a
Oklahoma City, OK 73139-9475 - Phone
- (405) 632-4468
- Fax
- (405) 632-0436
- NPI assigned
- May 25, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 16
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Oklahoma State University College of Osteopathic Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southwest Orthopaedic Specialists, PLLC
Practice addresses (Care Compare)
8100 S Walker Ave BLDG a
Southwest Orthopaedic and Reconstructive
Oklahoma City, OK 73139-9475
Phone (405) 632-4468
Hospital & facility affiliations
- Entrust Home Health
- Lifeline Home Health Care, Inc
- Traditions Health of Purcell
- Memorial Home Health
- Assured Home Health of Clinton
- Oklahoma Center for Orthopaedic & Multi-SP
- Integris Southwest Medical Center
- Integris Baptist Medical Center, Inc
- Memorial Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.92 of 100
- Quality
- 56.21
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 66.86
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 92 |
| Knee replacement | 154 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Ocom |
Hospital | Corporate Director | Sep 18, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090713000595 | OK | Practitioner - Orthopedic Surgery | 6709938335 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4326 | OK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Orthopaedic Specialists, P.L.L.C. | Orthopaedic Surgery | Current |
Accepting new patients |
| Southwest Orthopaedic Specialists, PLLC | Orthopaedic Surgery | Current |
Accepting new patients |
| Southwest Ambulatory Surgery Center, LLC | Past | Accepting new patients | |
| McBride Clinic Inc | Orthopaedic Surgery | Past | Accepting new patients |
| Summit Medical Center | Past | Accepting new patients | |
| Oklahoma Center for Orthopaedic & Multi-Specialty Surgery, LLC | Past | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Integris South Oklahoma City Hospital Corporation | Past | Accepting new patients |
Locations
8100 S Walker Ave
Oklahoma City, OK 73139
Phone (405) 602-6500
6001 NW 139th St
Ste A
Oklahoma City, OK 73142
Phone (405) 635-3511
8100 S Walker Ave
Bldg A
Oklahoma City, OK 73139
8100 S Walker Ave
Ste A
Oklahoma City, OK 73139
2506 N Harrison St
Shawnee, OK 74804
Phone (405) 214-0300
1805 Commons Cir
Ste 100C
Yukon, OK 73099
Phone (405) 265-0165
Interoperability endpoints
- breddick23104@direct.integrisok.com
- breddick@direct.uspi.com
- https://fhir-myrecord.cerner.com/r4/ed29dd2e-7f6b-4b48-93ba-6ba78c79cd2d/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | 4326 | OK | |
| Orthopaedic Trauma Physician | 207XX0801X | 4326 | OK | |
| Orthopaedic Surgery Physician | 207X00000X | 4326 | OK | Yes |
Addresses
Primary practice location
8100 S Walker Ave BLDG a
Oklahoma City, OK 73139-9475
Mailing address
8100 S Walker Ave BLDG a
Oklahoma City, OK 73139-9475
Phone (405) 632-4468
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4326 | Other | OK | MEDICAL LICENSE |
Other providers in Oklahoma City, OK
- Red Rock Behavorial Health Services
- Red Rock Military Services
- Red Rock Pharmacy, LLC
- Redbud Home Care LLC
- Moira Ambrose Redcorn
- Noah Reddick
- Amber Redding-Slootheer
- Cynthia Spring Redding
- Justin Redding
- Melissa Redding
All providers in Oklahoma City, OK · Orthopaedic Surgery Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.