Bretonya Janey Phillips-Johnson, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

30415 Issued in OK

Practice address

5501 N Portland Ave
Oklahoma City, OK 73112-2074

Phone

(405) 604-6000

NPI assigned

Aug 22, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Merit-based Incentive Payment System (MIPS)

Final score

82.22 of 100Reported as group

Quality

79.08

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bphillipsjohnson1828855@direct.texashealth.org

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.

• Allied Anesthesia & Pain Management Consultants, LLP

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1942327192
  Medicare reassignment NPD
• Dreammaster Anesthesia Services LLC

  • Anesthesiology Physician
  • Irving, TX
  • NPI 1467247973
  Medicare reassignment NPD
• Allied Anesthesia Associates, LLP

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1467750380
  NPD (past)

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

{
    "created_epoch": "1282435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1104132646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12317 WILLIAMSPORT AVENUE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73120",
            "telephone_number": "405-625-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 N PORTLAND AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122074",
            "telephone_number": "405-604-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS-JOHNSON",
        "first_name": "BRETONYA",
        "middle_name": "JANEY",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-22",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "125058881",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "30415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "30415",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "125058881",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phillip Doerner Jr MD PC
• Phillip J Elassal DDS PLLC
• Phillippe Counseling & Consulting PLLC
• Tammy Phillips-Brookshire, OT ASSISTANT
• Shalonda R Phillips-Edwards
• Abigail Phillips
• Amy Marie Phillips, APRN-CNP
• Angela D Phillips, DPH
• Anna Lisa Phillips
• Audrey Phillips

• Anesthesiology Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Anesthesiology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.

Verify at the official NPI Registry.