Sarah Souvannachak Bradley, D.O

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

License

6369 Issued in OK

Practice address

6126 E 61St St
Tulsa, OK 74136

Phone

(918) 281-2575

NPI assigned

Mar 9, 2017

Sex

Female

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 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

Specialty

Obstetrics/Gynecology

Education

Oklahoma State University College of Osteopathic Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oklahoma State UniversityGroup PAC ID 2769739358, 110 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.91 of 100Reported as group

Quality

77.78

Promoting interoperability

99

Improvement activities

40

Cost

73.95

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Oklahoma State University

  • Speech-Language Pathologist
  • Stillwater, OK
  • NPI 1700994878
  Medicare reassignment Care Compare group NPD
• Oklahoma State University

  • Clinical Medical Laboratory
  • Tulsa, OK
  • NPI 1326495433
  NPD
• Comanche County Healthcare

  • Surgery Physician
  • Lawton, OK
  • NPI 1285651232
  NPD (past)
• Oklahoma State University

  • Medical Specialty Clinic/Center
  • Tulsa, OK
  • NPI 1306882261
  NPD (past)
• Oklahoma State University Medical Trust

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1578704938
  NPD (past)
• Saint Francis Hospital, Inc.

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1144228487
  NPD (past)
• State of Oklahoma

  • Public Health or Welfare Agency
  • Oklahoma City, OK
  • NPI 1184891525
  NPD (past)

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1972044998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 S HOUSTON AVE STE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741279005",
            "telephone_number": "918-586-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6126 E 61ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74136",
            "telephone_number": "918-281-2575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "717 S Houston Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741279023",
            "country_code": "US",
            "telephone_number": "918-586-4522",
            "fax_number": "918-586-4531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "SARAH",
        "middle_name": "SOUVANNACHAK",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-09",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "OK",
            "license": "6369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylie Bradley
• Marissa Taylor Bradley, PA-C
• Monet Shanelle Bradley, LCSW
• Nechelle Bradley
• Paige M Bradley, PTA
• Travis Wayne Bradley, D.C.
• Bradleychiropractic P.C.
• Amy Beth Bradshaw, MPH
• Lucie Bradshaw
• Madison Kelley Bradshaw

• Obstetrics Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Obstetrics Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.