Individual provider Active NPI

Bryan Eliot Shapiro, M.D.

  • Anesthesiology Physician
  • Ardmore, OK
National Provider Identifier
1073515474
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
24408 Issued in OK
Practice address
2002 12TH Ave NW
Suite C
Ardmore, OK 73401-1206
Phone
(405) 272-9644
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 24408 OK Primary

Addresses

Primary practice location

2002 12TH Ave NW
Suite C
Ardmore, OK 73401-1206

Mailing address

PO Box 1983
Ardmore, OK 73402-1983

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24408OKMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ashland Hospital Corporation Past Accepting new patients
Anesthesia of Enid LLC Anesthesiology PastSince Aug 3, 2025 Accepting new patients
Anesthesiology Management Inc Anesthesiology Past Accepting new patients
Owensboro Health, Inc Past Accepting new patients
Latrobe Anesthesia Associates, Inc Anesthesiology Past Accepting new patients
St Marys Anesthesia Group Anesthesiology Past Accepting new patients
Western Pennsylvania Anesthesia Associates, LTD. Past Accepting new patients
Ardmore Anesthesia, Inc. Anesthesiology Past Accepting new patients

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1073515474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1983",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734021983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 12TH AVE NW",
            "address_2": "SUITE C",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011206",
            "telephone_number": "405-272-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "BRYAN",
        "middle_name": "ELIOT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "24408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.