Active NPI
Cameron Michael O'Brien
- Family Medicine Physician
- Durant, OK
National Provider Identifier
1245074491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1121R
- Practice address
- 1400 Bryan Dr
Ste 201
Durant, OK 74701-2157 - Phone
- (580) 924-5500
- Fax
- (580) 924-1991
- NPI assigned
- Jun 22, 2024
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1121R | OK | Primary |
Addresses
Primary practice location
1400 Bryan Dr
Ste 201
Durant, OK 74701-2157
Mailing address
1400 Bryan Dr
Suite 201
Durant, OK 74701
Phone (405) 639-9790
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782345600000",
"number": "1245074491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 BRYAN DR",
"address_2": "SUITE 201",
"city": "DURANT",
"state": "OK",
"postal_code": "74701",
"telephone_number": "405-639-9790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 BRYAN DR",
"address_2": "STE 201",
"city": "DURANT",
"state": "OK",
"postal_code": "747012157",
"telephone_number": "580-924-5500",
"fax_number": "580-924-1991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIEN",
"first_name": "CAMERON",
"middle_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-22",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "1121R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durant, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.