DR. BRAD ALAN LISTON D.O. NPI 1487817375

NPI Information

  • NPI: 1487817375
  • Provider Name: DR. BRAD ALAN LISTON, D.O.
  • Classification: Family Medicine - 207QA0505X
  • Specialization: Adult Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1908 N 14TH ST STE 204
    PONCA CITY, OK
    ZIP 74601
  • Phone: (580) 763-5900

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NPI Details

DR. Brad Alan Liston, D.O. is an adult medicine family medicine in Ponca City, OK with 19 years of experience. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. DR. Brad Alan Liston, D.O. NPI is 1487817375. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1908 N 14TH ST STE 204
PONCA CITY, OK
ZIP 74601-039
Phone: (580) 763-5900
Fax: (580) 763-5901

The NPI 1487817375 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
  • Urinalysis, manual test (HCPCS:81002)
  • Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
  • Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Removal of impacted ear wax (HCPCS:69210)
  • Transitional care management services for problem of high complexity (HCPCS:99496)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm (HCPCS:11401)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 7/9/2008 and was last updated on 9/16/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0505XFamily MedicineAdult Medicine4659OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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