Active NPI
Malcolm L. Buford Jr., MD
- Nephrology Physician
- Tulsa, OK
National Provider Identifier
1164424990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 27926
- Practice address
- 591 E 36TH St N
Tulsa, OK 74106-1812 - Phone
- (918) 619-4888
- Fax
- (918) 619-4591
- NPI assigned
- Aug 11, 2005
- Last updated
- Mar 24, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 27926 | OK | Primary |
Addresses
Primary practice location
591 E 36TH St N
Tulsa, OK 74106-1812
Mailing address
PO Box 268838
Oklahoma City, OK 73126-8838
Phone (918) 619-4400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200297050A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spokane Critical Care Associates, PS | Past | Accepting new patients | |
| Northwest Renal Services Inc | Nephrology | Past | Accepting new patients |
Interoperability endpoints
- malcolm.buford@direct.stjohnhealthsystem.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nephrology Physician
- Spokane, WA
- NPI 1629291273
-
dba Spokane Respiratory Consultants
- Specialist
- Spokane Valley, WA
- NPI 1083668008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458777600000",
"number": "1164424990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 268838",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731268838",
"telephone_number": "918-619-4400",
"fax_number": "918-619-4591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "591 E 36TH ST N",
"city": "TULSA",
"state": "OK",
"postal_code": "741061812",
"telephone_number": "918-619-4888",
"fax_number": "918-619-4591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUFORD",
"first_name": "MALCOLM",
"middle_name": "L.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2016-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "OK",
"license": "27926",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200297050A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.