Active NPI
Brian Emil Thatcher, M.D.
- Family Medicine Physician
- Yukon, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 33232
- Practice address
- 1205 Health Center Pkwy Ste 100
Yukon, OK 73099 - Phone
- (405) 717-5400
- Fax
- (405) 717-5467
- NPI assigned
- Jun 8, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R-10303 | IA | |
| Family Medicine Physician | 207Q00000X | 33232 | OK | Primary |
Addresses
Primary practice location
1205 Health Center Pkwy Ste 100
Yukon, OK 73099
Mailing address
5300 N Independence Ave Ste 280
Oklahoma City, OK 73112-5555
Phone (405) 717-5400
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
- University of Oklahoma College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10021 S Western Ave
Oklahoma City, OK 73139-2927
Phone (405) 692-9300
1616 S Kelly Ave
Edmond, OK 73013-3651
Phone (405) 330-0032
3212 SW 89TH St
Oklahoma City, OK 73159-7957
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 14 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-10303 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Physicians Group LLC | Family Medicine | Current | Accepting new patients |
| Integris Ambulatory Care Corporation | Family Medicine | Current | Accepting new patients |
| Summit Medical Center | Past | Accepting new patients |
Locations
5300 N Independence Ave
Ste 280
Oklahoma City, OK 73112
Phone (405) 552-0155
3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589
10021 S Western Ave
Oklahoma City, OK 73139
Phone (405) 692-9300
3212 SW 89th St
Ste 100
Oklahoma City, OK 73159
Phone (405) 378-3300
1205 Health Center Pkwy
Ste 100
Yukon, OK 73099
Phone (405) 350-1882
Interoperability endpoints
- bthatcher156269@direct.integrisok.com
Organizations & group practices 3
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.
-
- General Practice Physician
- Oklahoma City, OK
- NPI 1487620381
Family Medicine
-
dba INTEGRIS Medical Group
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1750333936
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Community Hospital
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1275593337
-
dba Integris Southwest Breast Center
- Mammography Clinic/Center
- Oklahoma City, OK
- NPI 1336155779
Hospital
-
dba Integris Jim Thorpe Inpatient Rehabilitation
- Rehabilitation Hospital Unit
- Oklahoma City, OK
- NPI 1336252717
-
dba Integris Health Southwest Medical Center
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1457372625
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529280000000",
"number": "1093195653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 N INDEPENDENCE AVE STE 280",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731125555",
"telephone_number": "405-717-5400",
"fax_number": "405-717-5467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 HEALTH CENTER PKWY STE 100",
"city": "YUKON",
"state": "OK",
"postal_code": "73099",
"telephone_number": "405-717-5400",
"fax_number": "405-717-5467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THATCHER",
"first_name": "BRIAN",
"middle_name": "EMIL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-08",
"last_updated": "2018-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "R-10303",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "33232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yukon, OK
- Telos Compounding Solutions LLC
- Telos Wellness and Vitality LLC
- Carolyn Terrell, COTA
- Patricia Gayle Teter, M.S.;CCC/SLP-L
- Larry Ray Tevebaugh Jr., NURSE PRACTITIONER
- The Back Stop LLC (The Back Stop)
- Meghan Theobald
- Kaci Dawn Thomas Fields, APRN
- Ashley Kara Thomas, M.S.CCC-SLP
- Bintu Sinju Thomas, NP- C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; 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.