Individual provider Active NPI

Brenda Schiesel, D.O.

  • Plastic and Reconstructive Surgery Physician
  • Tulsa, OK
National Provider Identifier
1346476579
Registry record updated Sep 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
5756 Issued in OK
Practice address
10131 S Yale Ave Ste B
Tulsa, OK 74137-6007
Phone
(918) 518-5144
Fax
(918) 921-8155
NPI assigned
Jun 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 5756 OK Primary

Addresses

Primary practice location

10131 S Yale Ave Ste B
Tulsa, OK 74137-6007

Mailing address

10131 S Yale Ave Ste B
Tulsa, OK 74137-6007
Phone (918) 518-5144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5756OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
South Tulsa Plastic Surgery Center Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bschiesel178407@ahs.direct-ci.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569110400000",
    "number": "1346476579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10131 S YALE AVE STE B",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741376007",
            "telephone_number": "918-518-5144",
            "fax_number": "918-921-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10131 S YALE AVE STE B",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741376007",
            "telephone_number": "918-518-5144",
            "fax_number": "918-921-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIESEL",
        "first_name": "BRENDA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-02",
        "last_updated": "2019-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "OK",
            "license": "5756",
            "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 22, 2019; 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.