Active NPI
Board of Regents of the University of Oklahoma Ou Physicians Tulsa
- Pediatrics Physician
- Tulsa, OK
National Provider Identifier
1396770707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA
- Practice address
- 1105 East 33 Street North
Bcchs Hawthorne Elementary
Tulsa, OK 74106 - Phone
- (918) 660-3614
- Fax
- (918) 660-3631
- NPI assigned
- Jul 12, 2006
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian L Maddy
- Title
- Ceo Ou Physicians
- Phone
- (405) 271-3932
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
1105 East 33 Street North
Bcchs Hawthorne Elementary
Tulsa, OK 74106
Mailing address
4502 E. 41St Street. 2G08
Tulsa, OK 74135-2553
Phone (918) 660-3632
National Provider Directory
National Provider Directory- Tax ID family
- Board of Regents of the University of Oklahoma
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Family Medicine Physician
- Tulsa, OK
- NPI 1184872004
-
dba OU Physicians Tulsa MBJSM
- Orthopaedic Surgery Physician
- Muskogee, OK
- NPI 1184947236
-
dba OU Physicians Tulsa Wayman Tisdale Clinic
- Pediatrics Physician
- Tulsa, OK
- NPI 1194844936
-
- Pediatrics Physician
- Tulsa, OK
- NPI 1205870912
-
- Orthopaedic Surgery Physician
- Tulsa, OK
- NPI 1245244052
-
- Pediatrics Physician
- Tulsa, OK
- NPI 1255366373
-
- Pediatric Endocrinology Physician
- Tulsa, OK
- NPI 1265616064
-
- Family Medicine Physician
- Tulsa, OK
- NPI 1275730632
-
- Pediatrics Physician
- Tulsa, OK
- NPI 1295779916
-
dba OUPT Schusterman Behavioral Health
- Clinical Social Worker
- Tulsa, OK
- NPI 1336544576
-
dba OU Physicians Tulsa Orthopedic Trauma
- Orthopaedic Trauma Physician
- Tulsa, OK
- NPI 1376771352
-
- Psychiatry Physician
- Tulsa, OK
- NPI 1386837045
Locations
1105 E 33rd St N
Tulsa, OK 74106
Phone (918) 925-1340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1396770707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4502 E. 41ST STREET. 2G08",
"city": "TULSA",
"state": "OK",
"postal_code": "741352553",
"telephone_number": "918-660-3632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 EAST 33 STREET NORTH",
"address_2": "BCCHS HAWTHORNE ELEMENTARY",
"city": "TULSA",
"state": "OK",
"postal_code": "74106",
"telephone_number": "918-660-3614",
"fax_number": "918-660-3631"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-12",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "MADDY",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO OU PHYSICIANS",
"authorized_official_telephone_number": "405-271-3932"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
- Board of Regents of the University of Oklahoma Ou Physicians Tulsa
- Board of Regents of the University of Oklahoma Ou Physicians Tulsa
- Board of Regents of the University of Oklahoma Ou Physicians Tulsa (OUPT Schusterman Behavioral Health)
- Board of Regents of the University of Oklahoma Ou Physicians Tulsa (OU Physicians Tulsa Orthopedic Trauma)
- Board of Regents of the University of Oklahoma Ou Physicians Tulsa
- Board of Regents of the University of Oklahoma Ou Physicians Tulsa
- Board of Regents of the University of Oklahoma Ou Physicians Tulsa
- Board of Regents of the University of Oklahoma Ou Physicians Tulsa
- Board of Regents of the University of Oklahoma Ou Physicians Tulsa (OUPT Sports Medicine and Physical Therapy)
- Board of Regents of the University of Oklahoma Ou Physicians Tulsa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.