NPIMap

Organization Active NPI

MTB Management, LLC,

  • Community/Behavioral Health Agency
  • Oklahoma City, OK
National Provider Identifier
1003105388
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MTB MANAGEMENT, LLC,
Practice address
1330 N Classen Blvd Ste G50
Oklahoma City, OK 73106-6845
Phone
(405) 605-2292
Fax
(405) 605-2266
NPI assigned
Apr 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Markus T BrunerNPI 1356629265
Title
Chief Executive Manager
Phone
(405) 605-2292

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X OK
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1330 N Classen Blvd Ste G50
Oklahoma City, OK 73106-6845

Mailing address

P.O Box 53182
Oklahoma City, OK 73152
Phone (405) 605-2292

Other names 1

  • Responsive Individual & Family Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
MTB Management LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1330 N Classen Blvd
Ste G50
Oklahoma City, OK 73106
Phone (405) 323-3342

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311206400000",
    "number": "1003105388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O BOX 53182",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73152",
            "telephone_number": "405-605-2292",
            "fax_number": "405-605-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 N CLASSEN BLVD STE G50",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731066845",
            "telephone_number": "405-605-2292",
            "fax_number": "405-605-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTB MANAGEMENT, LLC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-07",
        "last_updated": "2011-07-21",
        "status": "A",
        "authorized_official_last_name": "BRUNER",
        "authorized_official_first_name": "MARKUS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE MANAGER",
        "authorized_official_telephone_number": "405-605-2292",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Responsive Individual & Family Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.