NPIMap

Organization Active NPI

Bryan Medical Center, LLC

  • Clinic/Center
  • Durant, OK
National Provider Identifier
1265547798
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
23789 Issued in OK
Legal business name
BRYAN MEDICAL CENTER, LLC
Practice address
1400 Bryan Dr
Suite 211
Durant, OK 74701-2156
Phone
(580) 924-2424
Fax
(580) 924-2425
NPI assigned
Aug 21, 2006
Last updated
Feb 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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

Authorized official

Name
Dr. Shyla Butt, M.D.NPI 1154309086
Title
Managing Member
Phone
(580) 924-2424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 23789 OK Primary

Addresses

Primary practice location

1400 Bryan Dr
Suite 211
Durant, OK 74701-2156

Mailing address

720 Bryan Dr
Suite a
Durant, OK 74701-7032
Phone (580) 924-2424

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1265547798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 BRYAN DR",
            "address_2": "SUITE A",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747017032",
            "telephone_number": "580-924-2424",
            "fax_number": "580-924-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BRYAN DR",
            "address_2": "SUITE 211",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012156",
            "telephone_number": "580-924-2424",
            "fax_number": "580-924-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "BUTT",
        "authorized_official_first_name": "SHYLA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "580-924-2424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OK",
            "license": "23789",
            "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 Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.