Deactivated NPI 1366444648 Deactivated / Inactive NPI Male Practitioner

Dr. Bradford Jay Stephens , MD

Specialist • Miami, OK

✓ Accepts Medicare Assignment Telehealth Available

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Bradford Stephens has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 01, 2005

NPI Deactivation Date March 20, 2006

Total Practice Duration ~14 Years of Practice (1992 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Bradford Stephens, MD was a registered Specialist in Miami, OK. Prior to record deactivation on 2006-03-20, Dr. Stephens completed approximately 14 years of clinical practice following graduation from University Of Oklahoma College Of Medicine in 1992.

Dr. Stephens was affiliated with Integris Ambulatory Care Corporation and accepted Medicare assignment . Telehealth and virtual consultation options were offered for eligible patients.

Historical Medicare Part B clinical services included routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

202 A Sw

Miami, OK 74354

Telephone 9185419400

Fax 9185419411

Associated Practice Facility / Clinic

🏢 Bradford Jay Stephens Md Pc Facility NPI 1316006562

Medicare Profile & Education

Medical School

University Of Oklahoma College Of Medicine

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Miami, OK

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs Matches City Avg

City Avg: 34.0 Yrs

State Avg: 38.7 Yrs

Regional Practice Density

5 Specialists

Practicing in Miami, OK (463 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

33.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stephens (34 Years) 34 Yrs

Miami Specialty Average (34.0 Years) 34.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	491	350	$21.92	$7.55
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	317	58	$83.86	$64.84
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	264	117	$115.00	$68.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	166	88	$160.00	$111.23
99239 Hospital discharge day management, more than 30 minutes	139	124	$175.00	$98.92
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	126	115	$300.00	$150.95
99442 Telephone medical discussion with physician, 11-20 minutes	101	20	$115.00	$78.99
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	77	50	$150.00	$102.69
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	70	70	$120.00	$107.02
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	61	16	$26.00	$19.59
81003 Automated urinalysis test	45	27	$5.00	$2.20
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	42	33	$94.64	$86.84
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	41	13	$25.00	$12.36
99306 Initial nursing facility visit, typically 45 minutes per day	40	40	$200.00	$158.20
99213 Established patient office or other outpatient visit, typically 15 minutes	39	31	$115.00	$79.55
G0008 Administration of influenza virus vaccine	26	26	$30.00	$29.40
94729 Test to examine how well the lungs exchange gases	15	15	$30.00	$7.65
94726 Determination of lung volumes using plethysmography	15	15	$30.00	$10.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$65.00	$48.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	465	350	$28.10	$7.84
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	345	154	$115.00	$74.50
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	344	57	$84.62	$69.74
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	203	183	$300.00	$163.69
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	180	90	$150.00	$112.69
99239 Hospital discharge day management, more than 30 minutes	172	147	$175.00	$106.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	167	93	$160.00	$118.08
99442 Telephone medical discussion with physician, 11-20 minutes	138	23	$115.00	$82.73
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	106	106	$157.74	$118.68
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	68	11	$5.15	$1.05
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	46	17	$26.00	$21.07
99213 Established patient office or other outpatient visit, typically 15 minutes	39	26	$115.00	$84.03
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	30	24	$92.50	$91.16
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	28	13	$25.00	$13.04
99306 Initial nursing facility visit, typically 45 minutes per day	28	27	$200.00	$171.67
G0008 Administration of influenza virus vaccine	21	21	$32.38	$28.68
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	18	18	$114.44	$75.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$195.00	$155.35
81003 Automated urinalysis test	17	14	$5.00	$2.20
94729 Test to examine how well the lungs exchange gases	15	15	$30.00	$8.37
94726 Determination of lung volumes using plethysmography	15	15	$30.00	$11.30
94060 Test to measure expiratory airflow and volume changes before and after medication administration	12	12	$30.00	$9.67
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	11	$55.00	$48.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	480	368	$36.00	$7.98
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	423	167	$150.00	$96.84
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	367	80	$85.04	$64.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	194	100	$160.00	$120.64
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	173	151	$300.00	$186.46
99442 Telephone medical discussion with physician, 11-20 minutes	169	34	$115.27	$81.77
99239 Hospital discharge day management, more than 30 minutes	146	136	$175.00	$98.66
99220 Hospital observation care, typically 70 minutes	85	79	$275.00	$169.61
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	77	43	$100.00	$84.86
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	71	71	$197.75	$122.83
99217 Hospital observation care on day of discharge	44	44	$125.00	$67.29
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	29	$115.00	$67.26
99318 Nursing facility annual assessment, typically 30 minutes	38	38	$200.00	$90.51
99213 Established patient office or other outpatient visit, typically 15 minutes	37	29	$115.00	$85.44
99226 Subsequent observation care, typically 35 minutes per day	31	26	$150.00	$95.87
99306 Initial nursing facility visit, typically 45 minutes per day	26	25	$196.15	$154.28
G0008 Administration of influenza virus vaccine	24	24	$30.00	$27.14
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	21	21	$163.81	$65.43
94729 Test to examine how well the lungs exchange gases	21	21	$30.00	$8.59
94726 Determination of lung volumes using plethysmography	21	21	$30.00	$11.59
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	18	16	$26.00	$21.30
94060 Test to measure expiratory airflow and volume changes before and after medication administration	16	16	$30.00	$9.91
81003 Automated urinalysis test	15	14	$5.00	$2.23
G0009 Administration of pneumococcal vaccine	11	11	$30.00	$27.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	651	208	$150.00	$98.21
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	347	274	$36.00	$8.10
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	317	81	$85.14	$65.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	233	110	$160.00	$122.23
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	193	177	$300.00	$191.51
99442 Telephone medical discussion with physician, 11-20 minutes	178	34	$115.00	$84.36
99239 Hospital discharge day management, more than 30 minutes	138	127	$175.00	$101.20
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	94	50	$99.52	$86.28
99220 Hospital observation care, typically 70 minutes	76	70	$275.00	$174.08
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	54	12	$12.22	$1.26
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	51	51	$182.75	$124.13
99217 Hospital observation care on day of discharge	51	50	$125.00	$68.64
99213 Established patient office or other outpatient visit, typically 15 minutes	46	33	$115.00	$86.52
99226 Subsequent observation care, typically 35 minutes per day	38	29	$150.00	$98.81
G0008 Administration of influenza virus vaccine	37	37	$30.00	$15.73
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	37	37	$30.00	$29.94
99318 Nursing facility annual assessment, typically 30 minutes	33	33	$140.61	$90.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	16	$65.00	$50.78
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	25	12	$25.00	$13.28
81003 Automated urinalysis test	24	17	$5.00	$2.25
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	20	$115.00	$68.75
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	22	18	$26.00	$21.00
99291 Critical care, first 30-74 minutes	21	15	$300.00	$211.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$195.00	$159.71
94726 Determination of lung volumes using plethysmography	17	17	$30.00	$11.80
94729 Test to examine how well the lungs exchange gases	17	17	$30.00	$8.75
94060 Test to measure expiratory airflow and volume changes before and after medication administration	15	15	$30.00	$10.10
31500 Emergent insertion of breathing tube into windpipe cartilage using an endoscope	11	11	$300.00	$138.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	681	218	$150.00	$97.12
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	549	401	$36.00	$8.41
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	376	64	$97.97	$84.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	229	196	$300.00	$190.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	188	105	$160.00	$100.69
99442 Telephone medical discussion with physician, 11-20 minutes	186	46	$111.24	$66.11
99239 Hospital discharge day management, more than 30 minutes	156	144	$175.00	$99.14
85610 Blood test, clotting time	113	11	$10.00	$4.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	100	62	$65.00	$41.28
99220 Hospital observation care, typically 70 minutes	93	90	$275.00	$174.39
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	83	40	$97.11	$64.39
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	76	76	$121.05	$104.20
99217 Hospital observation care on day of discharge	62	60	$125.00	$67.78
99213 Established patient office or other outpatient visit, typically 15 minutes	56	38	$115.00	$69.43
G0008 Administration of influenza virus vaccine	51	51	$30.00	$15.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	50	15	$115.00	$68.09
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	48	48	$30.00	$29.20
99226 Subsequent observation care, typically 35 minutes per day	42	30	$150.00	$98.26
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	29	24	$26.00	$20.65
99291 Critical care, first 30-74 minutes	26	18	$300.00	$202.01
G0009 Administration of pneumococcal vaccine	20	20	$30.00	$15.76
81003 Automated urinalysis test	19	14	$5.00	$2.23
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	18	18	$20.00	$13.32
94729 Test to examine how well the lungs exchange gases	17	17	$30.00	$8.32
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$105.31	$92.18
94726 Determination of lung volumes using plethysmography	15	15	$30.00	$11.15
94060 Test to measure expiratory airflow and volume changes before and after medication administration	14	14	$30.00	$11.74
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	13	$55.00	$48.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	860	609	$36.00	$8.35
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	770	280	$124.43	$102.00
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	473	72	$71.10	$66.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	340	278	$243.82	$198.32
99239 Hospital discharge day management, more than 30 minutes	274	229	$123.63	$104.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	255	129	$128.10	$104.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	234	52	$51.94	$42.14
99213 Established patient office or other outpatient visit, typically 15 minutes	127	56	$87.20	$69.53
85610 Blood test, clotting time	123	13	$10.00	$4.28
99220 Hospital observation care, typically 70 minutes	113	108	$216.33	$182.02
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	100	17	$25.00	$15.74
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	87	87	$127.99	$111.06
99217 Hospital observation care on day of discharge	67	67	$96.72	$71.20
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	61	13	$5.00	$1.79
G0008 Administration of influenza virus vaccine	51	49	$30.00	$15.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	49	41	$93.67	$71.34
99318 Nursing facility annual assessment, typically 30 minutes	48	48	$110.00	$93.42
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	48	48	$30.00	$27.57
81003 Automated urinalysis test	26	19	$5.00	$2.44
94729 Test to examine how well the lungs exchange gases	26	26	$30.00	$8.82
94060 Test to measure expiratory airflow and volume changes before and after medication administration	26	26	$30.00	$12.56
94727 Determination of lung volumes using gas dilution or washout	23	23	$30.00	$11.84
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	20	17	$55.00	$50.78
G0009 Administration of pneumococcal vaccine	17	17	$30.00	$15.46
99226 Subsequent observation care, typically 35 minutes per day	16	15	$143.63	$102.61
90670 Pneumococcal vaccine for injection into muscle	15	15	$194.00	$188.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$195.00	$147.70
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	13	12	$20.00	$12.19
17000 Destruction of skin growth	13	12	$75.00	$59.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	968	680	$21.59	$7.98
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	769	380	$90.00	$68.56
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	408	77	$70.00	$64.59
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	378	325	$225.00	$190.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	349	140	$110.00	$99.20
99239 Hospital discharge day management, more than 30 minutes	281	239	$105.32	$100.85
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	138	76	$114.00	$98.18
99220 Hospital observation care, typically 70 minutes	123	114	$190.00	$175.46
85610 Blood test, clotting time	123	12	$10.00	$4.75
99217 Hospital observation care on day of discharge	60	58	$75.42	$68.40
G0008 Administration of influenza virus vaccine	59	59	$30.00	$18.90
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	57	57	$30.00	$18.65
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	52	11	$3.00	$1.80
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	48	48	$117.29	$106.73
81003 Automated urinalysis test	47	25	$5.00	$2.71
99213 Established patient office or other outpatient visit, typically 15 minutes	36	34	$70.00	$67.08
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	34	18	$25.00	$18.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	28	$48.00	$39.85
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	22	11	$5.00	$1.96
99225 Subsequent observation care, typically 25 minutes per day	21	18	$90.00	$68.78
94729 Test to examine how well the lungs exchange gases	20	20	$30.00	$8.71
94060 Test to measure expiratory airflow and volume changes before and after medication administration	20	20	$30.00	$12.36
94727 Determination of lung volumes using gas dilution or washout	16	16	$30.00	$11.72
G0009 Administration of pneumococcal vaccine	14	14	$30.00	$18.90
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	14	13	$177.00	$93.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,014	472	$90.00	$67.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	415	345	$225.00	$189.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	386	170	$110.36	$97.20
99239 Hospital discharge day management, more than 30 minutes	359	295	$105.38	$99.19
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	342	92	$70.00	$63.73
85610 Blood test, clotting time	158	13	$10.00	$5.28
99220 Hospital observation care, typically 70 minutes	126	117	$190.00	$173.28
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	91	46	$114.00	$97.31
G0008 Administration of influenza virus vaccine	74	74	$30.00	$23.05
99213 Established patient office or other outpatient visit, typically 15 minutes	73	61	$70.00	$66.75
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	72	72	$30.00	$23.57
99217 Hospital observation care on day of discharge	66	63	$75.30	$67.49
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	51	19	$25.00	$22.51
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	43	43	$114.77	$104.79
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	42	11	$3.43	$1.81
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	37	12	$44.46	$37.32
81003 Automated urinalysis test	33	26	$5.00	$3.02
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	30	12	$5.00	$2.77
94060 Test to measure expiratory airflow and volume changes before and after medication administration	29	29	$29.48	$12.88
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	24	24	$251.88	$203.51
99225 Subsequent observation care, typically 25 minutes per day	15	13	$90.00	$67.92
G0009 Administration of pneumococcal vaccine	11	11	$30.00	$23.05

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License OK 18454

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100048810A (OK)

Commercial Insurance / Payer ID Aetna Provider Number

5975535 (OK)

Commercial Insurance / Payer ID Clia Waive Number

37D1002186 (OK)

Commercial Insurance / Payer ID Railrod Medicare Provider

P00066051 (OK)

Hospital & Practice Group Affiliations

Integris Ambulatory Care Corporation

200 2nd Ave Sw, Miami, OK 743546830

Phone: 9185426611

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Amy Mercer , PA-C

Physician Assistant - Medical

NPI 1932253275

Physician Assistant (Certified)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location May 25, 2011

Registered at 202 A SW, MIAMI, OK 74354 (Tel: 9185419400)

📍

Updated Business Mailing Address May 25, 2011

Registered at 202 A SW, MIAMI, OK 74354 (Tel: 9185419400)

👤

Provider Name / Credentials Updated May 25, 2011

Recorded as BRADFORD STEPHENS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 25, 2011

Specialist (License #18454 in OK)

🔄

NPI Profile Reactivated March 31, 2006

Record officially reactivated for active practice on March 31, 2006

⚠️

NPI Profile Deactivated March 20, 2006

Record deactivated on March 20, 2006

🟢

Initial NPI Registration & Enumeration June 01, 2005

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: 1366444648

Entity Type:

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

Enumeration Date: June 01, 2005

Last Update: March 07, 2023

Deactivation Date: March 20, 2006

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

202 A Sw

Miami, OK 74354

Phone: 9185419400

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.