Bradley D Beasley (NPI# 1821102823, PAC ID# 3375447329) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1821102823 |
| PAC ID by PECOS | 3375447329 |
| Professional Enrollment ID | I20031121000512 |
| Full Name | Bradley D Beasley |
| Organization Legal Name | RESTORATION FOOT AND ANKLE PLLC |
| Address |
800 W Boise Cir Suite 150 Broken Arrow OK 74012-4932 |
| Phone Number | 9182741557 |
| Gender | M |
| Credential | DPM |
| Medical School | COLLEGE PODIATRIC MEDICINE AND SURGERY UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES |
| Graduation Year | 2000 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 8628155157 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370235 | ST JOHN BROKEN ARROW, INC |
| 370114 | ST JOHN MEDICAL CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 800 W Boise Cir, Suite 150, Broken Arrow, OK 74012-4932 | 9182741557 | RESTORATION FOOT AND ANKLE PLLC |
| Organization Legal Name | RESTORATION FOOT AND ANKLE PLLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shelley Lynn Hogue | Podiatry | Restoration Foot and Ankle Pllc | 800 W Boise Cir, Suite 150, Broken Arrow, OK 74012-4932 |
| Street Address |
800 W BOISE CIR SUITE 150 |
| City | BROKEN ARROW |
| State | OK |
| Zip | 74012-4932 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael H Vu | Family Medicine | Omni Medical Group Inc | 800 W Boise Cir, Suite 160, Broken Arrow, OK 74012-4932 |
| Rachel M. Wilkinson | Nurse Practitioner | Tulsa Urology Plc | 800 W Boise Cir, Suite 210, Broken Arrow, OK 74012-4932 |
| Shelley Lynn Hogue | Podiatry | Restoration Foot and Ankle Pllc | 800 W Boise Cir, Suite 150, Broken Arrow, OK 74012-4932 |
| Jennifer Vanderford | Nurse Practitioner | Omni Medical Group Inc | 800 W Boise Cir, Suite 160, Broken Arrow, OK 74012-4932 |
| Corinne Parkins | Physician Assistant | Omni Medical Group Inc | 800 W Boise Cir, Suite 160, Broken Arrow, OK 74012-4932 |
| Theron Joseph Bliss | Family Medicine | Omni Medical Group Inc | 800 W Boise Cir, Suite 160, Broken Arrow, OK 74012-4932 |
| Richard Baker Saint | Urology | Tulsa Urology Plc | 800 W Boise Cir, Suite 210, Broken Arrow, OK 74012-4932 |
| Robert G Niebergall | Internal Medicine | Omni Medical Group Inc | 800 W Boise Cir, Suite 160, Broken Arrow, OK 74012-4932 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott M Hibbets | Optometry | 433 Stone Wood Dr, Broken Arrow, OK 74012-1026 | |
| Brad F Wells | Optometry | 433 Stone Wood Dr, Broken Arrow, OK 74012-1026 | |
| Travis D Ring | Chiropractic | 2433 N Aspen Ave, Broken Arrow, OK 74012-1142 | |
| Marilyn Sue Taylor | Physician Assistant | Pmo Medical Pllc | 1751 N Aspen Ave, Broken Arrow, OK 74012-1197 |
| Jeffrey L Halford | Physical Medicine and Rehabilitation | Pmo Medical Pllc | 1751 N Aspen Ave, Broken Arrow, OK 74012-1197 |
| Jo-anna Coppin Lohr | Nurse Practitioner | Pmo Medical Pllc | 1751 N Aspen Ave, Broken Arrow, OK 74012-1197 |
| Brent W Henderson | Anesthesiology | Pmo Medical Pllc | 1751 N Aspen Ave, Broken Arrow, OK 74012-1197 |
| Dena Marie Brunk | Physical Therapy | Redbud Physical Therapy LLC | 1700 W Albany St, Suite 310, Broken Arrow, OK 74012-1478 |
| Amira A Al Jiboori | Physical Therapy | Redbud Physical Rehabilitation PC | 1700 W Albany, Suite 310, Broken Arrow, OK 74012-1478 |
| Emily Lynne Sweeney | Physical Therapy | Redbud Physical Therapy LLC | 1700 W Albany St, Suite 310, Broken Arrow, OK 74012-1478 |
| Find all physicians in zip 74012 | |||
| City | BROKEN ARROW |
| Zip Code | 74012 |
| Specialty | PODIATRY |
| City + Specialty | BROKEN ARROW + PODIATRY |
Please comment or provide details below to improve the information on Bradley D Beasley.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.