DR. MARY L. BRADLEY-LEBOEUF M.D.
NPI 1497724041
Pediatrics in Idabel, OK

Active since March 16, 2006PECOS Enrolled
1307 LYNN LN, IDABEL, OK 74745(580) 286-5437(580) 286-3955 Get Directions Write a Review

NPPES record last updated: February 2, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mary L. Bradley-leboeuf M.d. NPPES

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

DR. MARY L. BRADLEY-LEBOEUF M.D. (NPI 1497724041) is an individual pediatrics provider in Idabel, Oklahoma, licensed in Oklahoma (22507) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497724041
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. MARY L. BRADLEY-LEBOEUFCredential: M.D.
Location Address1307 LYNN LNIdabel, OK 74745-6845
Mailing Address1307 Lynn LnIdabel, OK 74745-6845 · (580) 286-5437 · Fax (580) 286-3955
Fax(580) 286-3955
Sole ProprietorYes
Enumeration DateMarch 16, 2006
Last NPPES UpdateFebruary 2, 2011
NPI 1497724041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in OK · 22507
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1307 LYNN LN, Idabel, OK 74745

Other Identifiers 3

Other22507OK · State Med License
Medicare UPINH12755
Medicaid100187600BOK

Accepted 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. Mary L. Bradley-leboeuf M.d. 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 74745 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.

Other Providers at the Same Location NPPES

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

Clinic/Center (Primary Care)
1307 LYNN LN
IDABEL, OK 74745

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 Mary Bradley-leboeuf's NPI number?

The NPI number for Mary Bradley-leboeuf is 1497724041. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is Mary Bradley-leboeuf located?

Mary Bradley-leboeuf practices at 1307 Lynn Ln, Idabel, OK 74745. The listed phone number is (580) 286-5437.

What is Mary Bradley-leboeuf's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mary Bradley-leboeuf enrolled in Medicare?

Yes. Mary Bradley-leboeuf is registered in the Medicare PECOS enrollment system.

What insurance does Mary Bradley-leboeuf accept?

Health plans from Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Oklahoma, Health Advantage, Octave and UnitedHealthcare list Mary Bradley-leboeuf as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Bradley-leboeuf was last updated on February 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.