NPIMap

Organization Active NPI

MTB Management, LLC

  • Case Management Agency
  • Midwest City, OK
National Provider Identifier
1073940862
Registry record updated Oct 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MTB MANAGEMENT, LLC
Practice address
1032 S Douglas Blvd
Midwest City, OK 73130-5209
Phone
(405) 605-2292
Fax
(405) 605-2266
NPI assigned
Oct 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2013

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

Authorized official

Name
Markus Bruner
Title
Cem
Phone
(405) 605-2292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1032 S Douglas Blvd
Midwest City, OK 73130-5209

Mailing address

PO Box 53182
Oklahoma City, OK 73152-3182
Phone (405) 605-2292

National Provider Directory

National Provider Directory
Tax ID family
MTB Management LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1381449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381449600000",
    "number": "1073940862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53182",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731523182",
            "telephone_number": "405-605-2292",
            "fax_number": "405-605-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 S DOUGLAS BLVD",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731305209",
            "telephone_number": "405-605-2292",
            "fax_number": "405-605-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTB MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-11",
        "last_updated": "2013-10-11",
        "status": "A",
        "authorized_official_last_name": "BRUNER",
        "authorized_official_first_name": "MARKUS",
        "authorized_official_title_or_position": "CEM",
        "authorized_official_telephone_number": "405-605-2292"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; 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.