Brett Kolman, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

20841 Issued in OK

Practice address

7718 E 91St St Ste 200
Tulsa, OK 74133-6061

Phone

(918) 392-0720

NPI assigned

Mar 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Diagnostic Radiology

Education

University of Oklahoma College of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fidelis Radiology, Inc.Group PAC ID 8123042751, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Fidelis Radiology, Inc.

  • Diagnostic Radiology Physician
  • Tulsa, OK
  • NPI 1770705915
  Medicare reassignment Care Compare group NPD Authorized official
• Aspen Medical Imaging Inc

  • Radiology Clinic/Center
  • Broken Arrow, OK
  • NPI 1649225491
  NPD (past)
• Yukon Medical Imaging LLC

  • Radiology Clinic/Center
  • Yukon, OK
  • NPI 1528013448
  NPD (past)
• Allegheny Radiology Associates, LTD

  • Diagnostic Radiology Physician
  • Pittsburgh, PA
  • NPI 1841297876
  NPD (past)

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391644800000",
    "number": "1295796829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 702586",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741702586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7718 E 91ST ST STE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741336061",
            "telephone_number": "918-392-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLMAN",
        "first_name": "BRETT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2014-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "20841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200017330C",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00325952",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rainer Kohrs, M.D.
• Lata Koirala
• Waynetta; Faye Koivisto
• Kolker Vision Care
• David Robert Kolker, O.D.
• Zoe Elizabeth Kolmer
• Erica Elizabeth Koloff, CRNA
• Kiran Kommaraju
• Madhavi Kommareddi, M.D.
• Manas Sai Kommareddi, DDS

• Diagnostic Radiology Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Diagnostic Radiology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; 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.

Verify at the official NPI Registry.