BRADFORD J STEPHENS, MD, Specialist MIAMI, OK

Contact Information

BRADFORD J STEPHENS, MD

202 A SW
MIAMI, OK 74354

Phone: 918-541-9400
Fax: 918-541-9411
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Specialist	174400000X

Indicates primary specialty

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NPI Profile & details for BRADFORD J STEPHENS · (Male)

NPI Number	`1366444648`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	06/01/2005
Last updated	03/07/2023 - About 3 years ago
Sole proprietor ¹	Yes
Identifiers	OK License # 18454 OK Medicaid 100048810A OK Other 5975535 AETNA PROVIDER NUMBER OK Other 37D1002186 CLIA WAIVE NUMBER OK Other P00066051 RAILROD MEDICARE PROVIDER
Hospital affiliation(s)	INTEGRIS BAPTIST REG HEALTH CENTER - (Acute Care) 200 SECOND AVENUE SOUTHWEST, BOX 1207 MIAMI, OK 74355 INTEGRIS GROVE HOSPITAL - (Acute Care) 1001 EAST 18TH STREET GROVE, OK 74344

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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