Active NPI
Bryan Peck, MD
- Diagnostic Radiology Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 30004
- Practice address
- 3300 NW Expressway
Oklahoma City, OK 73112-4418 - Phone
- (405) 202-6844
- NPI assigned
- Apr 23, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 30004 | OK | Primary |
Addresses
Primary practice location
3300 NW Expressway
Oklahoma City, OK 73112-4418
Mailing address
2920 SW 137TH St
Oklahoma City, OK 73170-5102
Phone (405) 202-6844
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Oklahoma College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Star MCD LLC
Practice addresses (Care Compare)
1110 N Sarah Dewitt Dr
Gonzales Health System
Gonzales, TX 78629-3311
Phone (830) 672-7581
11970 N Central Expy
Suite 100
Dallas, TX 75243-3772
Phone (972) 649-6460
1200 W Cherokee St
Wagoner Community Hospital
Wagoner, OK 74467-4624
Phone (405) 286-4114
12052 Toscana Way
Frisco, TX 75035-2295
Phone (972) 492-3846
1339 E St
Graham Regional Medical Center
Graham, TX 76450-4228
Phone (940) 549-3400
2203 W Lampasas St
Ennis Regional Medical Center
Ennis, TX 75119-5666
Phone (972) 875-0900
2220 W Iowa Ave
Grady Memorial Hospital
Chickasha, OK 73018-2738
Phone (405) 286-4114
2900 S Loop
Suite 256
Palestine, TX 75801-6958
Phone (713) 461-3573
2920 SW 137TH St
Oklahoma City, OK 73170-5102
Phone (405) 202-6844
3100 SW 89TH St
Community Hospital
Oklahoma City, OK 73159-7900
Phone (405) 286-4114
3600 NW 138TH St
Suite 102
Oklahoma City, OK 73134-2504
Phone (713) 461-3573
3700 W 15TH St
Building D Suite 200
Plano, TX 75075-4736
Phone (972) 758-9000
400 SW 25TH Ave
Palo Pinto General Hospital
Mineral Wells, TX 76067-8246
Phone (940) 325-7891
4501 Heritage Trace Pkwy
Suite 115
Fort Worth, TX 76244-8941
Phone (972) 649-6460
4780 N Josey LN
Carrollton, TX 75010-4615
Phone (972) 492-3846
6101 W Plano Pkwy
Suite 150
Plano, TX 75093-8373
Phone (972) 649-6460
6720 Bertner Ave
Houston, TX 77030-2604
Phone (855) 504-4544
6800 Scenic Dr
Rowlett, TX 75088-4552
Phone (972) 587-6717
6901 NW 129TH St
Telerad Brandon Hancock
Oklahoma City, OK 73142-6019
Phone (405) 204-0891
707 Highland Blvd
Arlington, TX 76015-4319
Phone (817) 583-7100
800 Legacy Dr
Edmond, OK 73025-2683
Phone (405) 503-5033
850 W Central Texas Expy
Harker Heights, TX 76548-1890
Phone (855) 504-4544
8501 Wade Blvd
220 N Star Diagnostic
Frisco, TX 75034-5895
Phone (214) 618-3420
865 Deshong Dr
Paris, TX 75460-9313
Phone 28187045922120
901 W Hamilton St
Olney Hamilton Hospital
Olney, TX 76374-1725
Phone (940) 564-5521
Hospital & facility affiliations
- Community Hospital, LLC
- Duncan Regional Hospital, Inc
- Oklahoma Center for Orthopaedic & Multi-SP
- Paris Regional Medical Center
- Grady Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.91 of 100
- Quality
- 76.55
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grady Memorial Hospital | Current | Accepting new patients | |
| Gateway Diagnostic Imaging Sherman, LLC | Current | Accepting new patients | |
| Eagle Partners, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| North Star FP, LP | Current | Accepting new patients | |
| North Star Diagnostic Imaging, LLC | Current | Accepting new patients | |
| North Star NPT LP | Current | Accepting new patients | |
| North Star MCD LLC | Current | Accepting new patients | |
| Grady Memorial Hospital | Current | Accepting new patients | |
| Singleton Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Gateway Diagnostic Imaging LLC | Current | Accepting new patients | |
| Grady Memorial Hospital | Current | Accepting new patients | |
| North Star MCD, LLC | Current | Accepting new patients | |
| North Star GV, LP | Current | Accepting new patients | |
| North Star MRI of Frisco LP | Current | Accepting new patients | |
| North Star MCD, LLC | Current | Accepting new patients | |
| North Star MRI LP | Current | Accepting new patients | |
| North Star FM, LP | Current | Accepting new patients | |
| North Star Plano Parkway, LP | Past | Accepting new patients |
Locations
2100 W Iowa Ave
Chickasha, OK 73018
Phone (405) 224-2100
2220 W Iowa Ave
Chickasha, OK 73018
Phone (405) 224-2100
3100 SW 89th St
Oklahoma City, OK 73159
Phone (405) 602-8100
9800 Broadway Ext
Oklahoma City, OK 73114
Phone (405) 419-2980
3600 NW 138th St
Ste 102
Oklahoma City, OK 73134
Phone (800) 266-9910
1200 W Cherokee St
Wagoner, OK 74467
Phone (918) 485-1240
4780 N Josey Ln
Carrollton, TX 75010
Phone (972) 395-2293
4780 N Josey Ln
Ste 100
Carrollton, TX 75010
12230 Coit Rd
Ste 100
Dallas, TX 75251
Phone (214) 252-7020
9301 N Central Expy
Dallas, TX 75231
Phone (214) 365-8144
11970 N Central Expy
Ste 100
Dallas, TX 75243
Phone (469) 248-1000
3535 S Interstate 35 E
Denton, TX 76210
Phone (940) 384-3013
4501 Heritage Trace Pkwy
Ste 115
Fort Worth, TX 76244
8501 Wade Blvd
#220N
Frisco, TX 75034
1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845
1301 Montgomery Rd
Graham, TX 76450
Phone (940) 521-5360
2535 Ira E Woods Ave
Ste 101
Grapevine, TX 76051
6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092
6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092
3700 W 15th St
Bldg D
Plano, TX 75075
Phone (972) 612-0523
6101 W Plano Pkwy
Ste 150
Plano, TX 75093
Phone (469) 326-8623
4140 E Renner Rd
Ste 100
Richardson, TX 75082
Phone (972) 920-0115
Interoperability endpoints
- bpeck17347@direct.integrisok.com
Organizations & group practices 19
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.
-
- Diagnostic Radiology Physician
- Duncan, OK
- NPI 1548450976
-
dba North Star Diagnostic Imaging
- Radiology Clinic/Center
- Flower Mound, TX
- NPI 1174812028
OK
-
dba North Star Diagnostic Imaging
- Radiology Clinic/Center
- Dallas, TX
- NPI 1033630835
OK
-
dba North Star Diagnostic Imaging
- Radiology Clinic/Center
- Allen, TX
- NPI 1033174701
OK
-
dba North Star Diagnostic Imaging
- Radiology Clinic/Center
- Plano, TX
- NPI 1699387647
OK
-
dba North Star Diagnostic Imaging
- Radiology Clinic/Center
- Carrollton, TX
- NPI 1013305945
OK
-
dba Anesthesia Services
- Anesthesiology Physician
- Chickasha, OK
- NPI 1750370268
-
dba North Star Diagnostic Imaging
- Radiology Clinic/Center
- Grapevine, TX
- NPI 1922512664
OK
-
dba North Stat Diagnostic Imaging
- Radiology Clinic/Center
- Plano, TX
- NPI 1295496602
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
-
- Rural Acute Care Hospital
- Duncan, OK
- NPI 1851396394
-
- General Acute Care Hospital
- Chickasha, OK
- NPI 1538169198
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1063489458
-
dba Paris Regional Medical Center
- General Acute Care Hospital
- Paris, TX
- NPI 1063411767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672272000000",
"number": "1114361953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2920 SW 137TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731705102",
"telephone_number": "405-202-6844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 NW EXPRESSWAY",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731124418",
"telephone_number": "405-202-6844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PECK",
"first_name": "BRYAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-23",
"last_updated": "2022-12-29",
"certification_date": "2022-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OK",
"license": "30004",
"primary": true
}
],
"identifiers": [],
"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 Dec 29, 2022; 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.