Active NPI
Royal Bradley Whinery, MD
- Family Medicine Physician
- Elk City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 26230
- Practice address
- 1710 W 3Rd St
Suite 103
Elk City, OK 73644-5159 - Phone
- (580) 225-1290
- Fax
- (580) 225-2178
- NPI assigned
- May 3, 2007
- Last updated
- Dec 21, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 26230 | OK | Primary |
| Family Medicine Physician | 207Q00000X | 6420 | KS |
Addresses
Primary practice location
1710 W 3Rd St
Suite 103
Elk City, OK 73644-5159
Mailing address
1710 W 3Rd St
Suite 103
Elk City, OK 73644-5159
Phone (580) 225-1290
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200202430A | Medicaid | OK |
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, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1721 W Ave a
Elk City, OK 73644-3901
Phone (580) 303-4390
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6420 | KS | MD | Family Medicine Physician |
| 26230 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whinery Family Medicine PLLC | Family Medicine | Current | Accepting new patients |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients |
Locations
1710 W 3rd St
Ste 103
Elk City, OK 73644
Phone (580) 225-1290
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JHAJBD/Endpoint/JHAJBD
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Elk City, OK
- NPI 1013170752
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Great Plains Medical Clinic
- Rural Health Clinic/Center
- Elk City, OK
- NPI 1023512308
Hospital
-
dba Great Plains Pat Wall Clinic
- Rural Health Clinic/Center
- Elk City, OK
- NPI 1114421492
Hospital
-
dba Great Plains Regional Medical Center
- General Acute Care Hospital
- Elk City, OK
- NPI 1184639122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292889600000",
"number": "1336361773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1710 W 3RD ST",
"address_2": "SUITE 103",
"city": "ELK CITY",
"state": "OK",
"postal_code": "736445159",
"telephone_number": "580-225-1290",
"fax_number": "580-225-2178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 W 3RD ST",
"address_2": "SUITE 103",
"city": "ELK CITY",
"state": "OK",
"postal_code": "736445159",
"telephone_number": "580-225-1290",
"fax_number": "580-225-2178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHINERY",
"first_name": "ROYAL",
"middle_name": "BRADLEY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2010-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "26230",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "6420",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200202430A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elk City, OK
- Western Oklahoma ENT, PLLC
- Western Oklahoma Pain Specialists LLC
- Western Oklahoma Urology PLLC
- Western Oklahoma Wellness LLC
- Whinery Family Medicine PLLC
- Bridget D White
- Maybelle S Whu, MD
- William M Featherston, M.D., P.C.
- Williams Medical Group Practice, LLC (Xpress Wellness Urgent Care)
- Melissa Williams, MPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.