Brian a. Boatwright, Psy.D., P.L.L.C.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

1144 Issued in OK

Legal business name

BRIAN A. BOATWRIGHT, PSY.D., P.L.L.C.

Practice address

5272 S Lewis Ave Ste 250
Tulsa, OK 74105-6564

Phone

(918) 524-3300

Fax

(918) 524-3302

NPI assigned

Apr 2, 2012

Last updated

Apr 2, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian A. Boatwright, PSY.D.NPI 1366722712

Title

Neuropsychologist

Phone

(615) 415-5767

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

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.

• Brian A. Boatwright, PSY.D.

  • Clinical Neuropsychologist
  • Tulsa, OK
  • NPI 1366722712
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1295091411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 E 75TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741365642",
            "telephone_number": "615-415-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5272 S LEWIS AVE STE 250",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056564",
            "telephone_number": "918-524-3300",
            "fax_number": "918-524-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN A. BOATWRIGHT, PSY.D., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "BOATWRIGHT",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "615-415-5767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "OK",
            "license": "1144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyla Raylen Brewer
• Martha Brewer, MS
• Rachel K Brewer
• Sashaye Brewer
• Derek Andrew Brewster, LMT, CMLDT
• Brian D. Tipton O.D., a Professional Corporation (Eastland Eye Care Associates)
• Brian Kent MD Inc PC
• Markia Lashon Brice
• Nikki Brice
• Cayden Suszann Brickman

• Clinical Neuropsychologist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Clinical Neuropsychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.