Individual provider Active NPI

Bryan M Sheehan, DPM

  • Podiatrist
  • Grove, OK
National Provider Identifier
1427031863
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
207 Issued in OK
Practice address
1200 Neo Loop
Ste a
Grove, OK 74344
Phone
(918) 787-6893
Fax
(918) 787-6815
NPI assigned
Nov 21, 2005
Last updated
Aug 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 234 AR
Podiatrist 213E00000X 207 OK Primary

Addresses

Primary practice location

1200 Neo Loop
Ste a
Grove, OK 74344

Mailing address

PO Box 452327
Grove, OK 74345-2327
Phone (918) 787-6893

Other identifiers 2

IdentifierTypeStateIssuer
158947717MedicaidAR
100779640AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, AR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040405000115 OK Practitioner - PodiatryPractitioner - Other (Physician) 8022001304 Reassigns benefits to 1 organization
I20051221000826 AR Practitioner - Podiatry 8022001304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1200 Neo Loop
Suite a
Grove, OK 74344-6323
Phone (918) 787-6893

1300 Westpark Dr
Bentonville, AR 72712-4271
Phone (479) 224-6411

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue80
Removal of nail tissue689
Removal or shaving of skin growth316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
207OKMDPodiatrist
234ARMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Ankle & Foot Centers of Mid-America Podiatrist CurrentSince Mar 15, 2000 Accepting new patients
Shamsul Alam MD PA PastSince Dec 17, 2009 Accepting new patients
Freeman-Oak Hill Health System Past Accepting new patients

Locations

1300 Westpark Dr
Bentonville, AR 72712
Phone (479) 224-6411

1200 Neo Loop
Grove, OK 74344
Phone (417) 347-8570

1200 Neo Loop
#A
Grove, OK 74344
Phone (918) 787-6893

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1427031863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 452327",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743452327",
            "telephone_number": "918-787-6893",
            "fax_number": "918-787-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 NEO LOOP",
            "address_2": "STE A",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "74344",
            "telephone_number": "918-787-6893",
            "fax_number": "918-787-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEHAN",
        "first_name": "BRYAN",
        "middle_name": "M",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AR",
            "license": "234",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OK",
            "license": "207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158947717",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100779640A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove, OK

Sources for this page

Verify at the official NPI Registry.