DR. BRADLEY S WALKER (M.D.) – General Practice Physician, NPI 1194783530
General Practice Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. BRADLEY S WALKER (M.D.)
383 N 1340 E
PROVO, UT 846065169
Phone: (702) 528-4297
Type: Mailing
200 MERCY CIRCLE
BDLG H-200 SOUTH SIDE 4TH FLOOR
OCEANSIDE, CA 92055
Phone: (760) 725-1288
Type: Location
1735 N NELLIS BLVD STE G
LAS VEGAS, NV 891153671
Phone: (702) 342-8804
Type: Location
335, East Avenue I, Lancaster, Los Angeles County, California, 93535, United States
LANCASTER, CA 935351916
Phone: (661) 471-4020
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $190.
Total Amount is formed as General ($190) + Research ($0) + Ownership ($0) = $190.
Last reported payment date: 2024-09-27 • Largest payer in this snapshot: Novo Nordisk Inc ($145).
Total Amount
$190
General + Research + Ownership
Payments
4
Total payment records
General Amount
$190
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $145 |
| Janssen Pharmaceuticals, Inc | $22 |
| Merck Sharp & Dohme LLC | $22 |
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: 2009-02-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060808000174 | I | Family Practice | NV | TBD |
| I20080425000134 | I | Family Practice | AZ | TBD |
| I20090204000390 | I | General Practice | CA | TBD |
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.
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 84606)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| Nurse Practitioner | CA | |
| - | CA | |
| - | CA | |
| P O D I A T R Y | CA | |
| - | CA |
Reviews
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