DR. BRAD DAVID OLIVERSON D.O.
NPI 1366705444
Emergency Medicine in Kingman, AZ

Q: What is Brad Oliverson's NPI number?

The NPI number for Brad Oliverson is 1366705444. It was assigned to this individual provider in the NPPES registry on June 22, 2012.

Q: What is Brad Oliverson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Brad Oliverson was last updated on October 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since June 22, 2012PECOS Enrolled

3269 STOCKTON HILL RD, KINGMAN, AZ 86409(928) 757-2101 Get Directions Write a Review

NPPES record last updated: October 25, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Brad David Oliverson D.o. NPPES

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

DR. BRAD DAVID OLIVERSON D.O. (NPI 1366705444) is an individual emergency medicine provider in Kingman, Arizona, licensed in Arizona (R2303) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366705444

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. BRAD DAVID OLIVERSONCredential: D.O.

Location Address3269 STOCKTON HILL RDKingman, AZ 86409-3619

Mailing Address3269 Stockton Hill RdKingman, AZ 86409-3619

Phone(928) 757-2101

Sole ProprietorNo

Enumeration DateJune 22, 2012

Last NPPES UpdateOctober 25, 2013

✔ NPI 1366705444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in AZ · R2303✔ Licensed in OR · PG158047

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

3269 STOCKTON HILL RD, Kingman, AZ 86409

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brad David Oliverson D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 86409 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$112.48 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

NANCY SHENOUDA

Pharmacist