Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457008955 Individual Practitioner Male Practitioner

Bradley Dewayne Clark

Peer Specialist • Tulsa, OK

Professional Overview & Biography Verified Profile Summary

Bradley Clark is a registered healthcare professional specializing in Peer Specialist in Tulsa, OK. Practice services are available at 252 W 17TH PL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

252 W 17th Pl

Tulsa, OK 741194654

Telephone 9182009065
Fax 9185859543

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Tulsa, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
944 Specialists

Practicing in Tulsa, OK (5280 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

CMS Verified: 2022-03-04
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Amanda Pippin , PRSS

Peer Specialist

NPI 1326673757
Charlotte Smith

Counselor - Mental Health

NPI 1629494091
Lynn Wilson , LMSW

Social Worker

NPI 1679063473

Licensed Master Social Worker

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 04, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location March 04, 2022

Registered at 252 W 17TH PL, TULSA, OK 741194654 (Tel: 9182009065)

📍
Updated Business Mailing Address March 04, 2022

Registered at 1620 S ELWOOD AVE APT L3, TULSA, OK 741194252 (Tel: 2146033301)

👤
Provider Name / Credentials Updated March 04, 2022

Recorded as BRADLEY CLARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2022

Peer Specialist

🟢
Initial NPI Registration & Enumeration March 04, 2022

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: 1457008955
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 04, 2022
Last Update: March 04, 2022
Sole Proprietor: No

Mailing Address

1620 S Elwood Ave Apt L3

Tulsa, OK 741194252

Phone: 2146033301

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.