Active NPI
Philip Clay Bryan, MD
- Surgery Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 9273
- Practice address
- 1000 N Lee Ave
Oklahoma City, OK 73102-1036 - Phone
- (405) 340-2346
- NPI assigned
- Jun 1, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 9273 | OK | |
| Surgery Physician | 208600000X | 9273 | OK | Primary |
Addresses
Primary practice location
1000 N Lee Ave
Oklahoma City, OK 73102-1036
Mailing address
1515 Tower Dr
Moore, OK 73160-6181
Phone (405) 310-0836
Other practice location 1
305 S 5th St
Enid, OK 73701-5832
Phone (580) 548-5010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100000560A | Medicaid | OK |
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
- General Surgery
- Education
- University of Oklahoma College of Medicine, 1969
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 N Lee Ave
Oklahoma City, OK 73102-1036
Phone (405) 272-4200
305 S 5TH St
Enid, OK 73701-5832
Phone (580) 548-5010
8324 S Walker Ave
Oklahoma City, OK 73139-9450
Phone (405) 473-6866
Hospital & facility affiliations
- St Mary'S Regional Medical Center
- SSM Health St Anthony Hospital - Oklahoma City
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 433 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Philip C Bryan MD PLLC | Surgery | Current | Accepting new patients |
| Allied Woundcare Center LLC | Current | Accepting new patients | |
| Uhs of Oklahoma, LLC | Past | Accepting new patients | |
| SSM Health Care of Oklahoma, Inc. | Past | Accepting new patients | |
| Poplar Bluff Hma Physician Management, LLC | Surgery | Past | Accepting new patients |
Locations
305 S 5th St
Enid, OK 73701
Phone (580) 233-6100
1515 Tower Dr
Moore, OK 73160
1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152
8324 S Walker Ave
Oklahoma City, OK 73139
Phone (405) 473-6866
2401 W Wrangler Blvd
Seminole, OK 74868
Phone (405) 303-4000
Interoperability endpoints
- phil.bryan.1@17372.direct.athenahealth.com
- pbryan09@yourcarecommunity.org
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.
-
- Medical Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1750167383
-
- Surgery Physician
- Oklahoma City, OK
- NPI 1770917353
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1366545311
-
- General Acute Care Hospital
- Enid, OK
- NPI 1417947466
-
- Family Medicine Physician
- Poplar Bluff, MO
- NPI 1598710147
Surgery
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1366545311
-
- General Acute Care Hospital
- Enid, OK
- NPI 1417947466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753660800000",
"number": "1104828359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 TOWER DR",
"city": "MOORE",
"state": "OK",
"postal_code": "731606181",
"telephone_number": "405-310-0836",
"fax_number": "405-758-5582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N LEE AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731021036",
"telephone_number": "405-340-2346"
}
],
"practiceLocations": [
{
"address_1": "305 S 5th St",
"address_purpose": "LOCATION",
"city": "Enid",
"state": "OK",
"postal_code": "737015832",
"country_code": "US",
"telephone_number": "580-548-5010",
"fax_number": "580-548-5012",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRYAN",
"first_name": "PHILIP",
"middle_name": "CLAY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2025-07-28",
"certification_date": "2025-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OK",
"license": "9273",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OK",
"license": "9273",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100000560A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.