Board of Regents of the University of Oklahoma-Ou Physicians

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANS

Practice address

1212 S Douglas Blvd
Suite B
Midwest City, OK 73130-5246

Phone

(405) 736-6811

Fax

(405) 736-6863

NPI assigned

Feb 29, 2016

Last updated

Mar 7, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANSAs reported in NPPES

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

Authorized official

Name

Brian L Maddy

Title

Chief Executive Officer

Phone

(405) 271-3932

Specialties & licenses 1

Addresses

Other names 1

• OU Physicians Mid-Del Family Medicine Other name

Part of

Ou Physicians

Locations

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457308800000",
    "number": "1346600715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 S DOUGLAS BLVD",
            "address_2": "SUITE B",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731305246",
            "telephone_number": "405-736-6811",
            "fax_number": "405-736-6863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 S DOUGLAS BLVD",
            "address_2": "SUITE B",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731305246",
            "telephone_number": "405-736-6811",
            "fax_number": "405-736-6863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANS",
        "enumeration_date": "2016-02-29",
        "last_updated": "2016-03-07",
        "status": "A",
        "authorized_official_last_name": "MADDY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "405-271-3932"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OU Physicians Mid-Del Family Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Barbara Ann Blackwell
• Symone Blain, RBT
• Lynette Blanchey
• Victoria Grace Blevins
• Sharon Blough
• Katie Boateng, LCSW
• Richard S. Bobier, ATC
• Megan Bolin, MS, ATC, LAT
• Stephanie M Bond, MHR
• Larry A. Bookman, M.D.

• Family Medicine Physician in Midwest City, OK
• Providers in Midwest City, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; 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.