Debra Bynum Clark, ARNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

R0030708 Issued in OK

Practice address

825 NE 10TH St
Suite 3300
Oklahoma City, OK 73104-5417

Phone

(405) 271-9494

Fax

(405) 271-3727

NPI assigned

May 1, 2007

Sex

Female

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Board of Regents of the University of Oklahoma - Ou Phys GYN Private

  • Clinic/Center
  • Oklahoma City, OK
  • NPI 1518185776
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306454400000",
    "number": "1346461092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 NE 10TH ST",
            "address_2": "SUITE 3300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045417",
            "telephone_number": "405-271-9494",
            "fax_number": "405-271-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NE 10TH ST",
            "address_2": "SUITE 3300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045417",
            "telephone_number": "405-271-9494",
            "fax_number": "405-271-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "DEBRA",
        "middle_name": "BYNUM",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2011-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OK",
            "license": "R0030708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100118430 A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandi Nicole Clark
• Brian E Clark
• Caitlyn Grace Clark, PHARMD
• Carrie Jean Clark, D.O
• Christina Jane Clark, PA
• Dori Clark, M.S. CCC-SLP
• Elizabeth Lynne Clark
• Emilyanne Clark
• Gayle Clark, LCSW
• Heidi Dawn Clark

• Women's Health Nurse Practitioner in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Women's Health Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; 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.