Bradley Wilson, DDS, MSD
NPI 1053329185 · General Practice Dentistry · Broken Arrow, OK
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bradley Wilson, DDS, MSD is a General Practice Dentistry provider in Broken Arrow, OK (NPI 1053329185).
Provider details
- NPI number
- 1053329185
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS, MSD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 8242 (TX)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-04
- Last updated
- 2025-08-19
- Certified
- 2025-08-19
Frequently asked questions
- What is Bradley Wilson's NPI number?
- Bradley Wilson's National Provider Identifier (NPI) is 1053329185, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bradley Wilson's specialty?
- Bradley Wilson is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Bradley Wilson located?
- Bradley Wilson's practice location on file with NPPES is 2619 S Elm Pl, Broken Arrow, OK 74012-7878.
- What is Bradley Wilson's phone number?
- The practice phone number listed in the NPPES registry for Bradley Wilson is (918) 872-0218.
- Does Bradley Wilson accept Medicare?
- Bradley Wilson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Bradley Wilson's NPI active?
- Yes — Bradley Wilson's NPI (1053329185) is active in the NPPES registry as of the last update on 2025-08-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.