Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bradley Taylor, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114528247

Bradley Taylor, PA-C is a Physician Assistant in Ardmore, Oklahoma. Qualified in 2020, 6 years ago. Practices with Mercy Hospital Healdton Inc, a 13-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
6
Licensed in
OK
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

808 Carter St SE
Ardmore, OK 73401-8524
Phone: (580) 504-9468
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4463 (OK)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1114528247
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 4, 2020
Last updated in NPPESNovember 12, 2020
Certification dateNovember 12, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mercy Hospital Healdton Inc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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