NPIMap

Individual provider Active NPI

Brent W Laughlin, M.D.

  • Family Medicine Physician
  • Tulsa, OK
National Provider Identifier
1407824501
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13111 Issued in OK
Practice address
1919 S Wheeling Ave Ste 404
Tulsa, OK 74104
Phone
(918) 748-7640
Fax
(918) 403-6317
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 13111 OK Primary

Addresses

Primary practice location

1919 S Wheeling Ave Ste 404
Tulsa, OK 74104

Mailing address

1919 S Wheeling Ave Ste 404
Tulsa, OK 74104-5633
Phone (918) 748-7640

Other identifiers 1

IdentifierTypeStateIssuer
100074410AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101115000551 OK Practitioner - Family Practice 9638364789 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2000 S Wheeling Ave
Suite 700
Tulsa, OK 74104-5644
Phone (918) 986-7979

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13111OKMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brent W Laughlin MD PLLC Family Medicine CurrentSince Apr 1, 2019 Accepting new patients
St. John Physicians, Inc CurrentSince Jan 13, 2011 Accepting new patients
St. John Physicians, Inc. Family Medicine CurrentSince Jan 13, 2011 Accepting new patients
Omni Medical Group Inc Family Medicine CurrentSince Jan 1, 1993 Accepting new patients
St John Medical Center Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660

2000 S Wheeling Ave
Ste 700
Tulsa, OK 74104
Phone (918) 984-4999

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

1919 S Wheeling Ave
Ste 404
Tulsa, OK 74104
Phone (918) 748-7520

Interoperability endpoints

  • Direct secure messaging: brent.laughlin.1@23846.direct.athenahealth.com
  • Direct secure messaging: brent.laughlin.1@19352.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1407824501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 S WHEELING AVE STE 404",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045633",
            "telephone_number": "918-748-7640",
            "fax_number": "918-403-6317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 S WHEELING AVE STE 404",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74104",
            "telephone_number": "918-748-7640",
            "fax_number": "918-403-6317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUGHLIN",
        "first_name": "BRENT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "13111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100074410A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.