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DR. BRADLEY E SAMUELSON M.D
NPI 1912015165
Internal Medicine - Cardiovascular Disease in Wichita Falls, TX

Active since August 28, 2006PECOS Enrolled
1004 BROOK AVE, WICHITA FALLS, TX 76301(940) 687-7100(940) 687-7104 Get Directions Write a Review

NPPES record last updated: October 10, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bradley E Samuelson M.d NPPES

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

DR. BRADLEY E SAMUELSON M.D (NPI 1912015165) is an individual cardiovascular disease provider in Wichita Falls, Texas, licensed in Texas (J5005) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912015165
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. BRADLEY E SAMUELSONCredential: M.D
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
Sole ProprietorNo
Enumeration DateAugust 28, 2006
Last NPPES UpdateOctober 10, 2012
✔ NPI 1912015165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in TX · J5005
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 3

Medicaid1022402-04TX
Medicare UPINE90556TX
Medicare PIN8D4035TX

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. Bradley E Samuelson 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 76301 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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 2

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

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

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 Samuelson's NPI number?

The NPI number for Bradley Samuelson is 1912015165. It was assigned to this individual provider in the NPPES registry on August 28, 2006.

Where is Bradley Samuelson located?

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

What is Bradley Samuelson's specialty?

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

Is Bradley Samuelson enrolled in Medicare?

Yes. Bradley Samuelson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bradley Samuelson was last updated on October 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.