Organization Active NPI

B.F. Sakran, M.D., P.C.

  • Family Medicine Physician
  • O'Fallon, IL
National Provider Identifier
1366649733
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
B.F. SAKRAN, M.D., P.C.
Practice address
100 Springfield CT
O Fallon, IL 62269-2495
Phone
(618) 632-3565
Fax
(618) 632-7693
NPI assigned
Jun 29, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bradley F Sakran, M.D.
Title
President
Phone
(618) 632-3565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X IL Primary

Addresses

Primary practice location

100 Springfield CT
O Fallon, IL 62269-2495

Mailing address

100 Springfield CT
O Fallon, IL 62269-2495
Phone (618) 632-3565

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366649733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SPRINGFIELD CT",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622692495",
            "telephone_number": "618-632-3565",
            "fax_number": "618-632-7693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SPRINGFIELD CT",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622692495",
            "telephone_number": "618-632-3565",
            "fax_number": "618-632-7693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B.F. SAKRAN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAKRAN",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-632-3565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Fallon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.