Active NPI
Sheleatha Taylor-Bristow, M.D.
- Family Medicine Physician
- Oklahoma City, OK
National Provider Identifier
1265744056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 27765
- Practice address
- 1006 NE 17TH St
Oklahoma City, OK 73111-1002 - Phone
- (405) 769-3301
- Fax
- (405) 769-9685
- NPI assigned
- Jul 8, 2010
- Last updated
- Sep 22, 2026
- Sex
- Female
- Sole proprietor
- No
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 | 27765 | OK | Primary |
Addresses
Primary practice location
1006 NE 17TH St
Oklahoma City, OK 73111-1002
Mailing address
PO Box 30589
Midwest City, OK 73140-3589
Phone (405) 769-3301
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Oklahoma College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12716 NE 36TH St
Mary Mahoney Mem HLTH Ctr
Spencer, OK 73084-9167
Phone (405) 769-3301
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers Inc. | Past | Accepting new patients |
Interoperability endpoints
- sheleatha.taylor-bristow.1@17619.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mary Mahoney Memorial Health Center
- Federally Qualified Health Center (FQHC)
- Oklahoma City, OK
- NPI 1265415806
-
dba Perry A. Klaassen Family Medical Center
- Federally Qualified Health Center (FQHC)
- Oklahoma City, OK
- NPI 1376725812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790035200000",
"number": "1265744056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30589",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731403589",
"telephone_number": "405-769-3301",
"fax_number": "405-769-9685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 NE 17TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731111002",
"telephone_number": "405-769-3301",
"fax_number": "405-769-9685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR-BRISTOW",
"first_name": "SHELEATHA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-08",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "27765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.