BRADLEY CLIFFORD TAYLOR (D.O.) – Ophthalmology Physician, NPI 1902809643

BRADLEY CLIFFORD TAYLOR (D.O.) is a healthcare provider. based in Edmond, Oklahoma. specializing in Ophthalmology Physician. They hold the professional credentials D.O.. They hold a License No. 2479 (OK). The NPI Number for BRADLEY CLIFFORD TAYLOR (D.O.) is 1902809643

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY CLIFFORD TAYLOR (D.O.)
NPI
1902809643
Phone
(405) 752-2733
Address
14701 N SANTA FE AVE
Enumeration Date
26 May 2005
Last Update Date
8 May 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4057522733
Graduation Year
1984 (42 years ago)
PAC ID
4587747886
Group Practice PAC ID
4688659519
Professional Enrollment ID
I20100817000305
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

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Provider Addresses for BRADLEY CLIFFORD TAYLOR (D.O.)

  • North Santa Fe Avenue, Edmond, Oklahoma County, Oklahoma, 73003, United States

    EDMOND, OK 730133411

    Phone: (405) 752-2733

    Fax: (405) 752-2172

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-08-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100817000305IOphthalmologyOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73013)

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Provider's Procedures

BRADLEY CLIFFORD TAYLOR (D.O.) performs procedures in Ophthalmology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYOK92134Diagnostic imaging of retina4541

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688659519View full group profile
NameSpecialtyState
O P H T H A L M O L O G YOK
O P T O M E T R YOK
O P T O M E T R YOK
O P H T H A L M O L O G YMO
O P T O M E T R YOK
O P H T H A L M O L O G YOK
O P H T H A L M O L O G YOK
O P H T H A L M O L O G YOK
O P T O M E T R YOK
O P H T H A L M O L O G YOK

Reviews

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Frequently asked questions

Can I verify BRADLEY CLIFFORD TAYLOR (D.O.) with an NPI only?
You can start verification with NPI 1902809643 for BRADLEY CLIFFORD TAYLOR (D.O.), then check state licensing separately.
Is BRADLEY CLIFFORD TAYLOR (D.O.) listed as active for patients and plans?
The listing shows BRADLEY CLIFFORD TAYLOR (D.O.) as active in the NPI system.
What is BRADLEY CLIFFORD TAYLOR (D.O.)'s specialty?
The listing groups BRADLEY CLIFFORD TAYLOR (D.O.) with Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Where is BRADLEY CLIFFORD TAYLOR (D.O.) based?
BRADLEY CLIFFORD TAYLOR (D.O.) is tied to Edmond, Oklahoma in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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