Mark Brizendine, RD/LD CNSC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1820 Issued in OK

Practice address

Hillcrest Medical Center 1120 S. Utica Ave
Tulsa, OK 74104

Phone

(918) 579-1000

NPI assigned

Aug 23, 2017

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": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503446400000",
    "number": "1033636915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HILLCREST MEDICAL CENTER 1120 S. UTICA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HILLCREST MEDICAL CENTER 1120 S. UTICA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74104",
            "telephone_number": "918-579-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIZENDINE",
        "first_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "RD/LD CNSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-23",
        "last_updated": "2017-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "1820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Janette Bristle, P.T.
• Brianna Lee Bristol, BT
• Kristin Brooke Bristow, MD
• Brynlee Grace Britt
• April Lynn Brizendine
• Kauli Ann Broadhead
• Broadmoor Health Care, LLC (Broadmoor Retirement Community)
• Candis L Broadnax
• Lauren Broadright
• Veneeciea Broadus

• Registered Dietitian in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Registered Dietitian in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2017; 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.