Active NPI
Brendan Dye, DO
- Family Medicine Physician
- Durant, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0468R
- Practice address
- 1600 W University Blvd
Durant, OK 74701-3094 - Phone
- (580) 924-5500
- NPI assigned
- Jun 29, 2021
- Last updated
- Jun 29, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0468R | OK | Primary |
Addresses
Primary practice location
1600 W University Blvd
Durant, OK 74701-3094
Mailing address
1600 W University Blvd
Durant, OK 74701-3094
Phone (580) 924-5500
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Oklahoma State University College of Osteopathic Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
430 N Monte Vista St
Ada, OK 74820-4610
Phone (580) 332-2323
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Oklahoma Communities | Single Specialty | Current | Accepting new patients |
| Elite Integral Staffing LLC | Single Specialty | Current | Accepting new patients |
| Marshall County Hma, LLC | Past | Accepting new patients | |
| Mercy Hospital Ada, Inc | Single Specialty | Past | Accepting new patients |
Locations
430 N Monte Vista St
Ada, OK 74820
Phone (580) 226-1251
1011 14th Ave NW
Ardmore, OK 73401
Phone (580) 220-6658
1600 W University Blvd
Durant, OK 74701
Phone (580) 740-0205
1800 W University Blvd
Durant, OK 74701
Phone (580) 924-3080
901 S 5th Ave
Madill, OK 73446
Phone (580) 564-7338
4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455
4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962
Interoperability endpoints
- https://fhir.yourcareuniverse.net/tenant/f25a1e6a-ed78-4641-a1c6-fcebfa80bf1b
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1386874550
Single Specialty
-
dba Elite Integral Staffing
- Emergency Medicine Physician
- Durant, OK
- NPI 1609648062
Single Specialty
-
- Emergency Medicine Physician
- Ponca City, OK
- NPI 1528040722
-
dba AllianceHealth Madill
- Critical Access Hospital
- Madill, OK
- NPI 1467476556
-
dba Mercy Hospital Ada
- General Acute Care Hospital
- Ada, OK
- NPI 1952643306
Single Specialty
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Chickasaw Nation Medical Center
- General Acute Care Hospital
- Ada, OK
- NPI 1255364923
-
dba Chickasaw Nation Tishomingo Clinic
- Primary Care Clinic/Center
- Tishomingo, OK
- NPI 1649330242
Hospital
-
dba Chickasaw Nation Ardmore Clinic
- Primary Care Clinic/Center
- Ardmore, OK
- NPI 1730249186
Hospital
-
dba Chickasaw Nation Purcell Clinic
- Primary Care Clinic/Center
- Purcell, OK
- NPI 1982764395
Hospital
-
- Primary Care Clinic/Center
- Ada, OK
- NPI 1962563148
Hospital
-
dba Holdenville General Hospital
- Critical Access Hospital
- Holdenville, OK
- NPI 1265851455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624924800000",
"number": "1033789334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 W UNIVERSITY BLVD",
"city": "DURANT",
"state": "OK",
"postal_code": "747013094",
"telephone_number": "580-924-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 W UNIVERSITY BLVD",
"city": "DURANT",
"state": "OK",
"postal_code": "747013094",
"telephone_number": "580-924-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYE",
"first_name": "BRENDAN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-29",
"last_updated": "2021-06-29",
"certification_date": "2021-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "0468R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durant, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.