Individual provider Active NPI

Brandon Pierson, MD

  • Otolaryngology Physician
  • Oklahoma City, OK
National Provider Identifier
1205157328
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
27797 Issued in OK
Practice address
3048 SW 89TH St
Suite B
Oklahoma City, OK 73159-6385
Phone
(405) 759-7600
Fax
(405) 607-3575
NPI assigned
Jun 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 27797 OK Primary

Addresses

Primary practice location

3048 SW 89TH St
Suite B
Oklahoma City, OK 73159-6385

Mailing address

4200 West Memorial Rd
Suite 606
Oklahoma City, OK 73120
Phone (405) 755-1930

Other identifiers 1

IdentifierTypeStateIssuer
200297530AMedicaidOK

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150728003701 OK Practitioner - Otolaryngology 6305150970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Oklahoma College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oklahoma Otolaryngology Associates LLCGroup PAC ID 9739136102, 15 clinicians

Practice addresses (Care Compare)

3650 W Rock Creek Rd
Norman, OK 73072-2202
Phone (405) 364-2666

525 SW 149TH St
Oklahoma City, OK 73170-7507
Phone (405) 759-7000

Hospital & facility affiliations

  • Community Hospital, LLC Hospital, Oklahoma City, OK, CCN 370203
  • Norman Regional Hospital, Norman, OK, CCN 370008
  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
27797OKMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Otolaryngology Associates, LLC CurrentSince Jul 1, 2015 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Oklahoma Otolaryngology Hearing Center Inc Past Accepting new patients
Summit Medical Center Past Accepting new patients
Community Hospital LLC Past Accepting new patients

Locations

3650 W Rock Creek Rd
Norman, OK 73072
Phone (405) 364-2666

3048 SW 89th St
Ste B
Oklahoma City, OK 73159
Phone (405) 464-8819

4200 W Memorial Rd
Ste 606
Oklahoma City, OK 73120
Phone (405) 755-1930

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.

Hospital & facility affiliations 3

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": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1205157328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 WEST MEMORIAL RD",
            "address_2": "SUITE 606",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73120",
            "telephone_number": "405-755-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3048 SW 89TH ST",
            "address_2": "SUITE B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731596385",
            "telephone_number": "405-759-7600",
            "fax_number": "405-607-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERSON",
        "first_name": "BRANDON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-14",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OK",
            "license": "27797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200297530A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.