Organization Active NPI

Board of Regents of the University of Oklahoma Ou Physicians Tulsa

  • Pediatrics Physician
  • Tulsa, OK
National Provider Identifier
1295779916
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA
Practice address
Bcchs Roosevelt Elementary School
1202 West Easton St
Tulsa, OK 74127
Phone
(918) 660-3614
NPI assigned
Jun 15, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Brian L Maddy
Title
Ceo Ou Physicians
Phone
(405) 271-3932

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

Bcchs Roosevelt Elementary School
1202 West Easton St
Tulsa, OK 74127

Mailing address

Ou Physicians Tulsa-Clinical Services
4502 E. 41St Street, 2G08
Tulsa, OK 74135-2552
Phone (918) 660-3632

National Provider Directory

National Provider Directory
Tax ID family
Board of Regents of the University of Oklahoma53 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1202 W Easton St
Tulsa, OK 74127

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1295779916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "OU PHYSICIANS TULSA-CLINICAL SERVICES",
            "address_2": "4502 E. 41ST STREET, 2G08",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352552",
            "telephone_number": "918-660-3632",
            "fax_number": "918-660-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BCCHS ROOSEVELT ELEMENTARY SCHOOL",
            "address_2": "1202 WEST EASTON ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74127",
            "telephone_number": "918-660-3614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MADDY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO OU PHYSICIANS",
        "authorized_official_telephone_number": "405-271-3932",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.