Laura Bilbruck, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

20265 Issued in OK

Practice address

800 W Boise Cir
Suite 160
Broken Arrow, OK 74012-4906

Phone

(918) 994-9160

Fax

(918) 293-3169

NPI assigned

Mar 14, 2006

Last updated

Sep 28, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Omni Medical Group Inc

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1174578249
  Medicare reassignment NPD

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1245209113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N HARVARD AVE",
            "address_2": "SUITE E",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741154957",
            "telephone_number": "918-832-6049",
            "fax_number": "918-832-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W BOISE CIR",
            "address_2": "SUITE 160",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740124906",
            "telephone_number": "918-994-9160",
            "fax_number": "918-293-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILBRUCK",
        "first_name": "LAURA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "20265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100229790A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kruti Bhakta, DDS
• Suresh Bharani
• Rosava Lillian Bibelheimer
• Kash Kendall Biddle, DO
• Janet Aurora Bigelow
• Patti Elyn Biles, M.S., CCC-SLP
• Tristin Billingsley
• Kathy Ann Billips, MS, LBP
• Elodie Birdwell, MSW
• Vanessa Renee Bishline, MPT

• Internal Medicine Physician in Broken Arrow, OK
• Providers in Broken Arrow, 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 Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.