Individual provider Active NPI

Brandy McCalip, APRN

  • Family Medicine Physician
  • Yukon, OK
National Provider Identifier
1255929436
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200236 Issued in OK
Practice address
4400 Grant Blvd
Yukon, OK 73099-0037
Phone
(405) 603-4660
Fax
(405) 470-3377
NPI assigned
Jan 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 200236 OK Primary

Addresses

Primary practice location

4400 Grant Blvd
Yukon, OK 73099-0037

Mailing address

20833 State Highway 24
Purcell, OK 73080-4629
Phone (405) 401-3849

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Yukon Other
Direct Messaging Address Brandy@complexprimarycare.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210505000114 OK Practitioner - Nurse Practitioner 6800205865 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
200236OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Physicians Group LLC Family Medicine CurrentSince Jan 29, 2021 Accepting new patients
Total Wellness Family Medicine PastSince Jan 1, 2021 Accepting new patients

Locations

10021 S Western Ave
Oklahoma City, OK 73139
Phone (405) 692-9300

4400 Grant Blvd
Yukon, OK 73099
Phone (405) 467-4440

Interoperability endpoints

  • Direct secure messaging: brandy@complexprimarycare.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1255929436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20833 STATE HIGHWAY 24",
            "city": "PURCELL",
            "state": "OK",
            "postal_code": "730804629",
            "telephone_number": "405-401-3849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 GRANT BLVD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730990037",
            "telephone_number": "405-603-4660",
            "fax_number": "405-470-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALIP",
        "first_name": "BRANDY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "200236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Yukon",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Yukon",
            "address_1": "4400 Grant Blvd",
            "city": "Yukon",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730990037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Brandy@complexprimarycare.org",
            "affiliation": "N",
            "endpointDescription": "Complex primary care",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4400 Grant Blvd",
            "city": "Yukon",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730990037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

Verify at the official NPI Registry.