Active NPI
Sara Bradley
- Peer Specialist
- Moore, OK
National Provider Identifier
1982116638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 1608 SE 7TH St
Moore, OK 73160-8340 - Phone
- (405) 693-9853
- NPI assigned
- Nov 2, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
1608 SE 7TH St
Moore, OK 73160-8340
Mailing address
2625 General Pershing Blvd
Oklahoma City, OK 73107-6437
Phone (405) 945-6238
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509580800000",
"number": "1982116638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 GENERAL PERSHING BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731076437",
"telephone_number": "405-945-6238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1608 SE 7TH ST",
"city": "MOORE",
"state": "OK",
"postal_code": "731608340",
"telephone_number": "405-693-9853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "SARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-02",
"last_updated": "2017-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.