Individual provider Active NPI

Bradley J. Lawson, M.D.

  • Orthopaedic Surgery Physician
  • Owasso, OK
National Provider Identifier
1942280425
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
28744 Issued in OK
Practice address
13616 E 103Rd St N Ste B
Owasso, OK 74055-4592
Phone
(918) 272-4488
Fax
(918) 481-7611
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 28744 OK
Orthopaedic Surgery Physician 207X00000X 28744 OK Primary

Addresses

Primary practice location

13616 E 103Rd St N Ste B
Owasso, OK 74055-4592

Mailing address

2488 E 81St St Ste 290
Tulsa, OK 74137-4265
Phone (918) 494-9341

Other practice location 1

6585 S Yale Ave Ste 200
Tulsa, OK 74136-8315
Phone (918) 481-2767

Other identifiers 1

IdentifierTypeStateIssuer
200397520AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20111206000437 OK Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 8123151602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Broken Arrow Orthopedics IncGroup PAC ID 4183637044, 3 clinicians

Practice addresses (Care Compare)

10507 E 91St St
Suite 350
Tulsa, OK 74133-5598
Phone (918) 451-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
56.32 of 100Reported as individual
Quality
10
Improvement activities
40
Cost
74.41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28744OKMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Broken Arrow Orthopedics Inc CurrentSince Aug 3, 2020 Accepting new patients

Locations

10507 E 91st St
Ste 350
Tulsa, OK 74133
Phone (918) 451-3000

Interoperability endpoints

  • Direct secure messaging: bradley.lawson.1@15136.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15136/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1942280425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2488 E 81ST ST STE 290",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374265",
            "telephone_number": "918-494-9341",
            "fax_number": "918-494-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13616 E 103RD ST N STE B",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554592",
            "telephone_number": "918-272-4488",
            "fax_number": "918-481-7611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6585 S Yale Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741368315",
            "country_code": "US",
            "telephone_number": "918-481-2767",
            "fax_number": "918-481-7611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWSON",
        "first_name": "BRADLEY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "OK",
            "license": "28744",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OK",
            "license": "28744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200397520A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owasso, OK

Sources for this page

Verify at the official NPI Registry.