Individual provider Active NPI

Bryan Peck, MD

  • Diagnostic Radiology Physician
  • Oklahoma City, OK
National Provider Identifier
1114361953
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
30004 Issued in OK
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

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160329002861 OK Practitioner - Diagnostic Radiology 5193022531 Reassigns benefits to 12 organizations
I20200121001711 TX Practitioner - Diagnostic Radiology 5193022531 Reassigns benefits to 9 organizations

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
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
North Star FP LPGroup PAC ID 6800168576, 49 clinicians
Eagle Partners, PLLCGroup PAC ID 9032205752, 170 clinicians
North Star MRI LPGroup PAC ID 5890762330, 54 clinicians
North Star CN LPGroup PAC ID 0547589376, 20 clinicians
North Star MCD LLCGroup PAC ID 2668659434, shared by 3 NPIs, 77 clinicians
North Star MRI of Frisco LPGroup PAC ID 2769574854, 72 clinicians
North Star NPT LPGroup PAC ID 8426468265, 40 clinicians
North Star Diagnostic Imaging LLCGroup PAC ID 8729118021, 69 clinicians
North Star FM LPGroup PAC ID 1153591763, 22 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
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

OrganizationSpecialtyStatusNew patients
Grady Memorial Hospital Current Accepting new patients
Gateway Diagnostic Imaging Sherman, LLC CurrentSince Jun 8, 2023 Accepting new patients
Eagle Partners, PLLC Diagnostic Radiology CurrentSince Apr 1, 2016 Accepting new patients
North Star FP, LP CurrentSince Jul 1, 2023 Accepting new patients
North Star Diagnostic Imaging, LLC CurrentSince Jul 1, 2023 Accepting new patients
North Star NPT LP CurrentSince Jul 1, 2023 Accepting new patients
North Star MCD LLC CurrentSince Jul 1, 2023 Accepting new patients
Grady Memorial Hospital Current Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Jan 9, 2019 Accepting new patients
Gateway Diagnostic Imaging LLC CurrentSince Jun 8, 2020 Accepting new patients
Grady Memorial Hospital CurrentSince Jul 1, 2018 Accepting new patients
North Star MCD, LLC Current Accepting new patients
North Star GV, LP CurrentSince Jul 6, 2023 Accepting new patients
North Star MRI of Frisco LP CurrentSince Jul 1, 2023 Accepting new patients
North Star MCD, LLC CurrentSince Jul 1, 2023 Accepting new patients
North Star MRI LP CurrentSince Jul 1, 2023 Accepting new patients
North Star FM, LP CurrentSince Jul 1, 2023 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

  • Direct secure messaging: 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.

View all 19

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.