Active NPI
Billy Bryan, D.O.
- Emergency Medicine Physician
- Oklahoma City, OK
National Provider Identifier
1376565622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 1993
- Practice address
- 3300 NW Expressway
Oklahoma City, OK 73112-4418 - Phone
- (405) 951-2541
- Fax
- (405) 951-2237
- NPI assigned
- Jul 24, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 1993 | OK | Primary |
Addresses
Primary practice location
3300 NW Expressway
Oklahoma City, OK 73112-4418
Mailing address
5300 N Independence
Suite 280
Oklahoma City, OK 73112-4418
Phone (405) 951-2541
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491350400000",
"number": "1376565622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 N INDEPENDENCE",
"address_2": "SUITE 280",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731124418",
"telephone_number": "405-951-2541",
"fax_number": "405-951-2237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 NW EXPRESSWAY",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731124418",
"telephone_number": "405-951-2541",
"fax_number": "405-951-2237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYAN",
"first_name": "BILLY",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2017-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "1993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.