NPI
Jerri Bradshaw
NPI 1609893676
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- PA-C
- Type
- Individual
- Enumeration date
- 2006-07-16
- Last updated
- 2026-03-13
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Specialties
Licenses
- License OK
- 1402
Location
- Practice location
- 16370 Us Highway 70
- City
- Lone Grove OK
- Postal code
- 73443-6535
- Phone
- (580) 224-2862
- Fax
- (580) 224-2863
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Lone Grove, OK. 17 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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