Bryan Lee Van Zandt, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Oklahoma City, OK
NPI 1003132978 · NPPES record last updated Dec 3, 2024
Key facts
- NPI
- 1003132978
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 30458 (OK)
- Practice address
- 4625 S Western Ave
Oklahoma City, OK 73109-3831 - Phone
- (405) 632-2323
- Fax
- (405) 631-9315
- NPI assigned
- Apr 15, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- University of Oklahoma College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Hospital Oklahoma City, Inc
Practice addresses (Care Compare)
4300 W Memorial Rd
Oklahoma City, OK 73120-8304
Phone (405) 755-1515
Hospital & facility affiliations
- Mercy Hospital Oklahoma City, Inc
- Oklahoma Heart Hospital, LLC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140725001702 | OK | Practitioner - Diagnostic Radiology | 5991945487 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Oklahoma Communities | Current |
Accepting new patients | |
| Mercy Hospital Oklahoma City, Inc | Diagnostic Radiology | Current |
Accepting new patients |
| Mercy Hospital Oklahoma City, Inc | Current | Accepting new patients |
Locations
1000 Hospital Dr
Kingfisher, OK 73750
Phone (405) 375-3141
4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962
4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455
Interoperability endpoints
- bryan.vanzandt.1@17407.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | N2860 | TX | |
| Diagnostic Radiology Physician | 2085R0202X | 30458 | OK | Yes |
Addresses
Primary practice location
4625 S Western Ave
Oklahoma City, OK 73109-3831
Mailing address
4005 24TH St
Lubbock, TX 79410-1815
Phone (806) 792-2767
Other providers in Oklahoma City, OK
- Gregory Van Ness
- Anyslie Van Nest
- Kyle Nicholas Van Pelt
- Jennifer Van Treese
- Cora Dayle Van Winkle
- Van-Dao, Inc
- David Van
- Lang Van
- Quyet-Thang N Van
- Kimberly Vanaken
All providers in Oklahoma City, OK · Diagnostic Radiology Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.