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BRADLEY E. SAMUELSON, MD PA
NPI 1003002262
Internal Medicine - Cardiovascular Disease in Wichita Falls, TX

Active since September 21, 2007
1004 BROOK AVE, WICHITA FALLS, TX 76301(940) 687-7100(940) 687-7104 Get Directions Write a Review

NPPES record last updated: February 19, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bradley E. Samuelson, Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRADLEY E. SAMUELSON, MD PA (NPI 1003002262) is a healthcare organization registered as a cardiovascular disease in Wichita Falls, Texas and active in the NPI registry since September 2007. The organization lists Lili Samuelson, Manager, as its authorized official.

NPPES Registry Identity

NPI1003002262
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameBRADLEY E. SAMUELSON, MD PA
Location Address1004 BROOK AVEWichita Falls, TX 76301-5007
Mailing Address1004 Brook AveWichita Falls, TX 76301-5007 · (940) 687-7100 · Fax (940) 687-7104
Phone(940) 687-7100
Fax(940) 687-7104
Organization SubpartNo
Authorized OfficialLili SamuelsonManager · (940) 687-7100
Enumeration DateSeptember 21, 2007
Last NPPES UpdateFebruary 19, 2008
✔ NPI 1003002262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1004 BROOK AVE, Wichita Falls, TX 76301
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Other Identifiers 1

Medicare PIN00555YTX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SANDRA VERGARA DDS, PA
Dentist (Oral and Maxillofacial Surgery)
1004 BROOK AVE
WICHITA FALLS, TX 76301
Wichita County (940) 264-6000
DR. BRADLEY E SAMUELSON M.D
Internal Medicine (Cardiovascular Disease)
1004 BROOK AVE
WICHITA FALLS, TX 76301
Wichita County (940) 687-7100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bradley E. Samuelson, MD PA's NPI number?

The NPI number for Bradley E. Samuelson, MD PA is 1003002262. It was assigned to this organization in the NPPES registry on September 21, 2007.

Where is Bradley E. Samuelson, MD PA located?

Bradley E. Samuelson, MD PA is located at 1004 Brook Ave, Wichita Falls, TX 76301. The listed phone number is (940) 687-7100.

What is Bradley E. Samuelson, MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Bradley E. Samuelson, MD PA was last updated on February 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.