DR. SHALAKO M. BRADLEY DO
NPI 1619231875
Emergency Medicine in Pontiac, MI
About Dr. Shalako M. Bradley Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHALAKO M. BRADLEY DO (NPI 1619231875) is an individual emergency medicine provider in Pontiac, Michigan, licensed in Michigan (5101020034) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Mcalester Regional Health Center, and is a graduate of Philadelphia College Of Osteopathic Medicine (2012).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Shalako M. Bradley Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Shalako Bradley reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mcalester, OK 74501
- Reassigned Medicare billing, Oklahoma enrollment
- 59 clinicians in this Medicare group
Plano, TX 75075
- Reassigned Medicare billing, Texas enrollment
- 454 clinicians in this Medicare group
Page, AZ 86040
- Reassigned Medicare billing, Arizona enrollment
- 199 clinicians in this Medicare group
Tucson, AZ 85741
- Reassigned Medicare billing, Arizona enrollment
- 664 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mcalester Regional Health Center
Acute Care Hospitals · Mcalester, OKMedical City Alliance
Acute Care Hospitals · Fort Worth, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48342 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
PONTIAC, MI 48342
PONTIAC, MI 48342
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 Shalako Bradley's NPI number?
The NPI number for Shalako Bradley is 1619231875. It was assigned to this individual provider in the NPPES registry on July 2, 2012.
Where is Shalako Bradley located?
Shalako Bradley practices at 50 N Perry St, Pontiac, MI 48342. The listed phone number is (248) 338-5392.
What is Shalako Bradley's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Shalako Bradley enrolled in Medicare?
Yes. Shalako Bradley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Shalako Bradley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shalako Bradley reassigns Medicare benefits to 4 organizations: Premier Physician Staffing 2 PLLC (Mcalester, OK), Questcare Medical Services PLLC (Plano, TX), Emergency Professional Services, PC (Page, AZ) and Northwest Hbp Medical Services LLC (Tucson, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shalako Bradley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shalako Bradley accept?
Health plans from Blue Cross and Blue Shield of Texas, Oscar Health Plan, Inc. and Oscar Insurance Company list Shalako Bradley 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.
Is Shalako Bradley affiliated with any hospitals?
According to CMS data, Shalako Bradley is affiliated with Mcalester Regional Health Center and Medical City Alliance.
When was this NPI record last updated?
The NPPES record for Shalako Bradley was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Shalako M. Bradley, DO · NPI 1619231875
Emergency Medicine physician in Pontiac, Michigan. Individual provider, active in the CMS NPPES registry since July 2, 2012.
## Identity
- **NPI:** 1619231875 (Entity type: Individual)
- **Enumerated:** July 2, 2012
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 5101020034 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 50 N PERRY ST, Pontiac, MI 48342-2217
- **Phone:** (248) 338-5392
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Premier Physician Staffing 2 PLLC (NPI 1326509407, Mcalester, OK); Questcare Medical Services PLLC (NPI 1164574489, Plano, TX); Emergency Professional Services, PC (NPI 1104151786, Page, AZ); Northwest Hbp Medical Services LLC (NPI 1407353006, Tucson, AZ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Philadelphia College Of Osteopathic Medicine, class of 2012
## Record status
- **NPPES last updated:** April 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1619231875) · Data from the CMS NPPES public registry.