Individual provider Active NPI

Brian Levy, M.D.

  • Internal Medicine Physician
  • Edmond, OK
National Provider Identifier
1033186473
Registry record updated Sep 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
13990 Issued in OK
Practice address
124 N Bryant Ave
C4
Edmond, OK 73034-6305
Phone
(405) 330-7606
Fax
(405) 330-7607
NPI assigned
Mar 3, 2006
Last updated
Sep 20, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 13990 OK Primary

Addresses

Primary practice location

124 N Bryant Ave
C4
Edmond, OK 73034-6305

Mailing address

124 N Bryant Ave
C4
Edmond, OK 73034-6305
Phone (405) 330-7606

Other identifiers 1

IdentifierTypeStateIssuer
100257590BMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100429001058 OK Practitioner - Internal Medicine 6305915182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Oklahoma College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

124 N Bryant Ave
C4
Edmond, OK 73034-6305
Phone (405) 330-7606

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Brian P Levy MD PLLC Internal Medicine CurrentSince Aug 30, 2013 Accepting new patients
Summit Medical Center Past Accepting new patients
National Family Medical Associates, LLC Internal Medicine PastSince Feb 1, 2023 Accepting new patients

Locations

124 N Bryant Ave
Ste C4
Edmond, OK 73034
Phone (405) 330-7606

Interoperability endpoints

  • Direct secure messaging: brian.levy.1@16900.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Integris Health Jim Thorpe Rehabilitation Hospital EdmondEdmond, OK, CCN 37T236 Hospital Corporate Director Jul 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379635200000",
    "number": "1033186473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 N BRYANT AVE",
            "address_2": "C4",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346305",
            "telephone_number": "405-330-7606",
            "fax_number": "405-330-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N BRYANT AVE",
            "address_2": "C4",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346305",
            "telephone_number": "405-330-7606",
            "fax_number": "405-330-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2013-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "13990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100257590B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.