Bradley Dale Pittman, PA is a medicare enrolled "Physician Assistant" physician in Cherokee, Oklahoma. His current practice location is
405 S Oklahoma Ave, Cherokee, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(580) 596-2800.
Bradley Dale Pittman is licensed to practice in Oklahoma (license number 1696) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1164609046.
Physician's Profile
| Full Name | Bradley Dale Pittman |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 405 S Oklahoma Ave, Cherokee, Oklahoma |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1164609046
- Provider Enumeration Date: 01/23/2008
- Last Update Date: 02/25/2025
Medicare PECOS Information:
- PECOS PAC ID: 1254405756
- Enrollment ID: I20080731000771
Medical Identifiers
Medical identifiers for Bradley Dale Pittman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1164609046 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | PA1696 (Oklahoma) | Secondary |
| 363A00000X | Physician Assistant | 1696 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bradley Dale Pittman is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Bradley Dale Pittman, PA 405 S Oklahoma Ave, Cherokee, OK 73728-2545 Ph: (580) 596-2800 | Bradley Dale Pittman, PA 405 S Oklahoma Ave, Cherokee, OK 73728-2545 Ph: (580) 596-2800 |
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