Organization Active NPI

Brian P Levy MD PLLC

  • Internal Medicine Physician
  • Edmond, OK
National Provider Identifier
1326474586
Registry record updated Dec 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BRIAN P LEVY MD PLLC
Practice address
124 N Bryant Ave
C4
Edmond, OK 73034-6305
Phone
(405) 330-7606
NPI assigned
Sep 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2013

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

Authorized official

Name
Brian P Levy, MDNPI 1033186473
Title
Owner
Phone
(405) 330-7606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

124 N Bryant Ave
C4
Edmond, OK 73034-6305

Mailing address

124 N Bryant Ave
C4
Edmond, OK 73034-6305
Phone (405) 330-7606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131213000730 OK Part B Supplier - Clinic/Group Practice 5597992768 Receives reassigned benefits from 1 practitioner
Practice locations: Edmond, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2071034Brian P Levy MD PLLC124 N Bryant Ave Suite C4, Edmond, OK 73034Certificate of waiverDec 30, 2027

National Provider Directory

National Provider Directory

Locations

124 N Bryant Ave
Ste C4
Edmond, OK 73034
Phone (405) 330-7606

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388016000000",
    "number": "1326474586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 N BRYANT AVE",
            "address_2": "C4",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346305",
            "telephone_number": "405-330-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N BRYANT AVE",
            "address_2": "C4",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346305",
            "telephone_number": "405-330-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN P LEVY MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-12-26",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-330-7606",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.