DR. BRADLEY OWEN KING MD NPI 1639118367

NPI Information

  • NPI: 1639118367
  • Provider Name: DR. BRADLEY OWEN KING, MD
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • Address: 1000 S BECKHAM AVE
    TYLER, TX
    ZIP 75701
  • Phone: (903) 597-0351

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NPI Details

DR. Bradley Owen King, MD is an emergency medicine in Tyler, TX. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Bradley Owen King, MD NPI is 1639118367. 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:

1000 S BECKHAM AVE
TYLER, TX
ZIP 75701-908
Phone: (903) 597-0351
Fax: (903) 525-9301

The enumeration date for this NPI number is 6/6/2006 and was last updated on 7/9/2014.

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
1207P00000XEmergency MedicineL0336TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1930120767MEDICARE PINTEXAS
28831B6MEDICARE PINTEXAS
3349638YLLYMEDICARE PINTEXAS
4H28667MEDICARE UPINTEXAS
50372286-04MEDICAIDTEXAS
68F6462OTHERTEXASBLUE CROSS
7349638YKN5MEDICARE PINTEXAS
8930120767OTHERTEXASRAILROAD MEDICARE

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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