Carlson, Brad

Carlson, Brad is an individual health care provider with primary practice located at 1120 S Utica Ave , Tulsa OK 74104-4012. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Carlson, Brad can be contacted via phone (918) 579-1000.

Contact Information

Primary practice address
1120 S Utica Ave Tulsa OK 74104-4012
Phone: (918) 579-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 27684 Oklahoma
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A93955 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 27684 Oklahoma

Profile Details

NPI number 1255544144
LBN Legal business name Carlson, Brad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Nov 30th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255544144 NPPES
Oklahoma MEDICAID 200290830A

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