Bryan L Roberson

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

807 W Broadway St
Altus, OK 73521-3737

Phone

(580) 970-3706

NPI assigned

Oct 14, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1760400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1013883347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 W BROADWAY ST",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735213737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 W BROADWAY ST",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735213737",
            "telephone_number": "580-970-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "BRYAN",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Rhodes, OD
• Richard G. Henry
• Kimberly Ruth Richardson
• Julia Rivera-Figueroa, M.D.
• Warren Todd Rivers, REVERAND
• Angela Roberts
• Dustin James Robins
• Amanda Rodriquez
• Christie Lee Rogers, M.S., LPC CANDIDATE
• Jarrett Keith Rogers

• Peer Specialist in Altus, OK
• Providers in Altus, OK by specialty
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.