Individual provider Active NPI

Matthew Bryan Biddle, D.C.

  • Chiropractor
  • Sapulpa, OK
National Provider Identifier
1427109693
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3723 Issued in OK
Practice address
1020 E Taft St
Sapulpa, OK 74066-5731
Phone
(918) 227-2788
Fax
(918) 227-2789
NPI assigned
Jan 15, 2007
Last updated
Aug 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3723 OK Primary

Addresses

Primary practice location

1020 E Taft St
Sapulpa, OK 74066-5731

Mailing address

1020 E Taft St
Sapulpa, OK 74066-5731
Phone (918) 227-2788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050318000010 OK Practitioner - Chiropractic 9436104213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Integrated Physical Health, LLCGroup PAC ID 5092956888, 3 clinicians

Practice addresses (Care Compare)

4564 S Harvard Ave
Suite B
Tulsa, OK 74135-2918
Phone (918) 508-2220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Physical Health LLC Chiropractor CurrentSince May 18, 2014 Accepting new patients
Brian S. Hicks D.C. Inc P.C. Chiropractor Past Accepting new patients
Brian S. Hicks D.C. Inc PC Chiropractor PastSince Feb 19, 2013 Accepting new patients
Ntco LLC Past Accepting new patients
Tulsa Family Chiropractic Chiropractor Past Accepting new patients

Locations

4564 S Harvard Ave
Ste B
Tulsa, OK 74135
Phone (918) 508-2220

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1427109693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 E TAFT ST",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740665731",
            "telephone_number": "918-227-2788",
            "fax_number": "918-227-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 E TAFT ST",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740665731",
            "telephone_number": "918-227-2788",
            "fax_number": "918-227-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIDDLE",
        "first_name": "MATTHEW",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sapulpa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.