Bruce E Hudkins, MD
Individual provider Active NPI Otolaryngology Physician · Tulsa, OK
NPI 1245229657 · NPPES record last updated Oct 12, 2017
Key facts
- NPI
- 1245229657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Otolaryngology Physician 207Y00000X
- License
- 20122 (OK)
- Practice address
- 6802 S Olympia Ave West
Ste 200
Tulsa, OK 74132 - Phone
- (918) 388-2398
- Fax
- (918) 388-2419
- NPI assigned
- Oct 18, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 1
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Otolaryngology
- Education
- University of Oklahoma College of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ear, Nose and Throat Specialists of Tulsa, LLP
Practice addresses (Care Compare)
6802 S Olympia Ave
Suite 200
Tulsa, OK 74132-1826
Phone (918) 388-9090
Hospital & facility affiliations
- Tulsa Spine & Specialty Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Tulsa Spine Hospital LLC |
Hospital | Corporate Director | Jun 1, 2018 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041005001287 | OK | Practitioner - Otolaryngology | 0244299394 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ear, Nose & Throat Specialists of Tulsa, LLP | Otolaryngology | Current |
Accepting new patients |
| Tulsa Ear Nose and Throat Center, PC | Otolaryngology | Past | Accepting new patients |
Locations
6802 S Olympia Ave
Ste 200
Tulsa, OK 74132
Phone (918) 388-9090
Interoperability endpoints
- brucehudkins@entst.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 20122 | OK | Yes |
Addresses
Primary practice location
6802 S Olympia Ave West
Ste 200
Tulsa, OK 74132
Mailing address
6802 S Olympia Ave Ste 200
Tulsa, OK 74132-1826
Phone (918) 388-2398
Other providers in Tulsa, OK
- Lara Ann Huddleston
- Stephanie Huddleston
- Holly Hudelson
- Benjamin Ray Hudgens
- Sheila Renee Hudgins
- Melissa Renee Hudmon
- Amy Hudson
- Lloyd A Hudson
- Nicole Hudson
- Robert Jordan Hudson Sr.
All providers in Tulsa, OK · Otolaryngology Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.