Dustan P Buckley MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

18504 Issued in OK

Legal business name

DUSTAN P BUCKLEY MD PC

Practice address

4140 W Memorial Rd
Suite 303
Oklahoma City, OK 73120-8366

Phone

(405) 749-7030

Fax

(405) 292-5505

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Dustan P Buckley, MDNPI 1730171794

Title

President

Phone

(405) 749-7030

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dustan Pierce Buckley, MD

  • Internal Medicine Physician
  • Oklahoma City, OK
  • NPI 1730171794
  NPD (past) Authorized official

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1174733083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3967",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730833967",
            "telephone_number": "405-749-7030",
            "fax_number": "405-292-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 W MEMORIAL RD",
            "address_2": "SUITE 303",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208366",
            "telephone_number": "405-749-7030",
            "fax_number": "405-292-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUSTAN P BUCKLEY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "BUCKLEY",
        "authorized_official_first_name": "DUSTAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-749-7030",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "18504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100228630A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Carol Durley
• Lauren Duroy
• Lawrence Christopher Duroy, PHD
• Taylor Paige Durr
• Andrew Harris Durso
• Dustin Baker MD PC
• Elizabeth Dutcher, LMFT
• Sakuntala Dutta, M.D
• Georgeann Nigh Duty, MS, LPC
• Eric John Duval, D.O.

• Internal Medicine Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.