Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bradley W Dyrstad, MD

Individual provider Orthopaedic Surgery Physician · NPI 1366641789

Bradley W Dyrstad, MD is an Orthopedic Surgery in Odessa, Texas. Graduated from Southern Illinois University School of Medicine in 2007, 19 years ago. Practices with Basin Orthopedic Surgical Specialists, PA, a 4-clinician group and accepts Medicare assignment. Licensed in Illinois, Ohio, Texas and Wisconsin.

Years since qualifying
19
Trained at
Southern Illinois University School of Medicine
Licensed in
IL, OH, TX, WI
In the registry since
2007
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1 Parks Legado Ct
Odessa, TX 79765-2542
Phone: (432) 332-2663
Fax: (432) 335-8849
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence P4440 (TX)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 35.099289 (OH)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 60790 (WI)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 125-052536 (IL)

Record details

NPI number1366641789
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 16, 2007
Last updated in NPPESDecember 9, 2021
Certification dateDecember 9, 2021
Mailing address1 Parks Legado Ct, Odessa, TX 79765-2542

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Basin Orthopedic Surgical Specialists, P.A. — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Odessa