Individual provider Active NPI

Brian H Churchman, M.D.

  • Anesthesiology Physician
  • Oklahoma City, OK
National Provider Identifier
1043598857
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
42753 Issued in OK
Practice address
8100 S Walker Ave BLDG C
Oklahoma City, OK 73139-9404
Phone
(405) 602-6500
NPI assigned
Jul 27, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME141132 FL
Anesthesiology Physician 207L00000X 42753 OK Primary

Addresses

Primary practice location

8100 S Walker Ave BLDG C
Oklahoma City, OK 73139-9404

Mailing address

927 Chautauqua Ave
Norman, OK 73069-4610
Phone (305) 902-8736

Other practice location 1

8901 Wisconsin Ave
Bethesda, MD 20889-5600
Phone (301) 295-4611

Other practice location 2

3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 971-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OK, IL, KS4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20190913001227 FL Practitioner - Anesthesiology 7113212994 Reassigns benefits to 2 organizations
I20241107000149 OK Practitioner - Anesthesiology 7113212994 Reassigns benefits to 1 organization
I20260430003228 IL Practitioner - Anesthesiology 7113212994 Reassigns benefits to 1 organization
I20260508000994 KS Practitioner - Anesthesiology 7113212994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
G and G Anesthesia LLCGroup PAC ID 4981912607, 92 clinicians
Apollo Medical Group of Overland Park LLCGroup PAC ID 3678809092, 11 clinicians

Practice addresses (Care Compare)

3403 Anderson Healthcare Dr
Edwardsville, IL 62025-7784
Phone (618) 288-8350

6650 W 110TH St
Suite 300
Overland Park, KS 66211-1546
Phone (913) 469-6777

Hospital & facility affiliations

  • Anderson Hospital Hospital, Maryville, IL, CCN 140289

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42753OKMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthomed Staffing LLC Anesthesiology CurrentSince Sep 6, 2024 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

9143 Philips Hwy
Ste 500
Jacksonville, FL 32256
Phone (904) 233-0597

8100 S Walker Ave
Bldg C
Oklahoma City, OK 73139
Phone (405) 602-6500

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1311724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1043598857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 CHAUTAUQUA AVE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730694610",
            "telephone_number": "305-902-8736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 S WALKER AVE BLDG C",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399404",
            "telephone_number": "405-602-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8901 Wisconsin Ave",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208895600",
            "country_code": "US",
            "telephone_number": "301-295-4611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 E Fletcher Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "33613",
            "country_code": "US",
            "telephone_number": "813-971-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHURCHMAN",
        "first_name": "BRIAN",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-27",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME141132",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "42753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.