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SARAH SOUVANNACHAK BRADLEY D.O
NPI 1972044998
Obstetrics & Gynecology - Obstetrics in Tulsa, OK

Active since March 09, 2017PECOS EnrolledAccepts Medicare Assignment
86.85/100
CMS Quality Rating
6126 E 61ST ST, TULSA, OK 74136(918) 281-2575 Get Directions Write a Review

NPPES record last updated: February 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 14, 2023, Jan 24, 2023, Oct 8, 2021 and 1 more (4 updates tracked since 2017).

About Sarah Souvannachak Bradley D.o NPPES

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

SARAH SOUVANNACHAK BRADLEY D.O (NPI 1972044998) is an individual obstetrics provider in Tulsa, Oklahoma, licensed in Oklahoma (6369) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tulsa, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (2017).

NPPES Registry Identity

NPI1972044998
Entity TypeIndividualFemale
Primary Taxonomy207VX0000X
Provider Legal NameSARAH SOUVANNACHAK BRADLEYCredential: D.O
Location Address6126 E 61ST STTulsa, OK 74136
Mailing Address717 S Houston Ave Ste 200Tulsa, OK 74127-9005 · (918) 586-4500
Phone(918) 281-2575
Sole ProprietorNo
Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 2017
Enumeration DateMarch 9, 2017
Last NPPES UpdateFebruary 14, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2023
✔ NPI 1972044998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians
Taxonomy Code207VX0000X
License✔ Licensed in OK · 6369
Definition
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee
6126 E 61ST ST, Tulsa, OK 74136
Open in Google Maps ↗

Secondary Practice Location 1

Location 1717 S Houston AveTulsa, OK 74127-9023 · Phone (918) 586-4522 · Fax (918) 586-4531

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare, Mending Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sarah Souvannachak Bradley D.o 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.

PECOS PAC ID2365841822
PECOS Enrollment IDI20210603001054
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 74136 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.69
Promoting Interoperability99
Improvement Activities40
Cost59.59

Other Providers at the Same Location NPPES 3

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

OKLAHOMA STATE UNIVERSITY
Clinic/Center (Medical Specialty)
6126 E 61ST ST
TULSA, OK 74136
Tulsa County (918) 294-3430
HANNA FOGG D.O.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
6126 E 61ST ST
TULSA, OK 74136
Tulsa County (918) 576-6998
OSU CENTER FOR HEALTH SCIENCES
Clinic/Center
6126 E 61ST ST
TULSA, OK 74136
Tulsa County (918) 561-8306

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 Sarah Bradley's NPI number?

The NPI number for Sarah Bradley is 1972044998. It was assigned to this individual provider in the NPPES registry on March 9, 2017.

Where is Sarah Bradley located?

Sarah Bradley practices at 6126 E 61st St, Tulsa, OK 74136. The listed phone number is (918) 281-2575.

What is Sarah Bradley's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Is Sarah Bradley enrolled in Medicare?

Yes. Sarah 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.

What insurance does Sarah Bradley accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare, Mending Health and UnitedHealthcare list Sarah 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.

When was this NPI record last updated?

The NPPES record for Sarah Bradley was last updated on February 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.