Active NPI 1497724041 Individual Practitioner Female Practitioner

Dr. Mary L. Bradley-Leboeuf , MD

Pediatrics • Idabel, OK

Professional Overview & Biography Verified Profile Summary

Dr. Mary Bradley-Leboeuf, MD is a registered healthcare professional specializing in Pediatrics in Idabel, OK. Practice services are available at 1307 LYNN LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1307 Lynn Ln

Idabel, OK 747456845

Telephone 5802865437

Fax 5802863955

Associated Practice Facility / Clinic

🏢 Idabel Children's Clinic, Inc. Facility NPI 1689985343

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Idabel, OK

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 23.0 Yrs

State Avg: 22.7 Yrs

Regional Practice Density

2 Specialists

Practicing in Idabel, OK (730 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License OK 22507

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100187600B (OK)

Commercial Insurance / Payer ID State Med License

22507 (OK)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 02, 2011

NPI status registered as active in NPPES database

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Updated Practice Location February 02, 2011

Registered at 1307 LYNN LN, IDABEL, OK 747456845 (Tel: 5802865437)

📍

Updated Business Mailing Address February 02, 2011

Registered at 1307 LYNN LN, IDABEL, OK 747456845 (Tel: 5802865437)

👤

Provider Name / Credentials Updated February 02, 2011

Recorded as MARY BRADLEY-LEBOEUF, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2011

Pediatrics (License #22507 in OK)

🟢

Initial NPI Registration & Enumeration March 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497724041

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 16, 2006

Last Update: February 02, 2011

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1307 Lynn Ln

Idabel, OK 747456845

Phone: 5802865437

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.