JOHN BRADFORD PATTERSON
NPI 1043157902
Nurse Practitioner - Family in Red Oak, OK

Active since April 30, 2026PECOS Enrolled
4868 NE 1174TH AVE, RED OAK, OK 74563(918) 471-8611 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Jul 6, 2026, Apr 30, 2026 (2 updates tracked since 2026).

About John Bradford Patterson NPPES

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

JOHN BRADFORD PATTERSON (NPI 1043157902) is an individual family provider in Red Oak, Oklahoma, licensed in Oklahoma (206293) and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1043157902
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJOHN BRADFORD PATTERSON
Location Address4868 NE 1174TH AVERed Oak, OK 74563-5023
Mailing Address4868 Ne 1174th AveRed Oak, OK 74563-5023 · (918) 471-8611
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateApril 30, 2026
Last NPPES UpdateJuly 6, 20262 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
NPI 1043157902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OK · 206293
4868 NE 1174TH AVE, Red Oak, OK 74563

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

John Bradford Patterson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264997634
PECOS Enrollment IDI20260716004969
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74563 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 John Patterson's NPI number?

The NPI number for John Patterson is 1043157902. It was assigned to this individual provider in the NPPES registry on April 30, 2026.

Where is John Patterson located?

John Patterson practices at 4868 NE 1174th Ave, Red Oak, OK 74563. The listed phone number is (918) 471-8611.

What is John Patterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is John Patterson enrolled in Medicare?

Yes. John Patterson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Patterson was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.