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

Q: 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.

Q: What is Bradley Samuelson's specialty?

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

Q: 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 14 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 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: October 25, 2026.

On this page

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

Open in Google Maps ↗

Other Identifiers 3

Medicaid1022402-04TX

Medicare UPINE90556TX

Medicare PIN8D4035TX

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Bradley Samuelson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

United Regional Health Care System Inc

0.3 mi

General Acute Care Hospital

1600 11TH ST
Wichita Falls, TX 76301

Reassigned Medicare billing, Texas enrollment
12 clinicians in this Medicare group

NPI 1023013448 (940) 764-3034

Hospice Of Wichita Falls, Inc.

4.5 mi

Hospice and Palliative Medicine

4909 JOHNSON RD
Wichita Falls, TX 76310

Reassigned Medicare billing, Texas enrollment
16 clinicians in this Medicare group

NPI 1871960500 (940) 691-0982

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Bradley Samuelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bradley Samuelson reassigns Medicare benefits to 2 organizations: United Regional Health Care System Inc (Wichita Falls, TX) and Hospice Of Wichita Falls, Inc. (Wichita Falls, TX). 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 Bradley Samuelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 14 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.