Individual provider Active NPI

Brian Whitley, DO

  • Family Medicine Physician
  • Norman, OK
National Provider Identifier
1427789643
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
8861 Issued in OK
Practice address
2361 36TH Ave NW
Norman, OK 73072-2908
Phone
(405) 364-0555
Fax
(405) 951-9945
NPI assigned
Jun 20, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 8861 OK Primary
Student in an Organized Health Care Education/Training Program 390200000X BP10050625 TX
Family Medicine Physician 207Q00000X V5625 TX

Addresses

Primary practice location

2361 36TH Ave NW
Norman, OK 73072-2908

Mailing address

2361 36TH Ave NW
Norman, OK 73072-2908
Phone (405) 364-0555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250906000305 OK Practitioner - Family Practice 4880077528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians

Practice addresses (Care Compare)

2361 36TH Ave NW
Norman, OK 73072-2908
Phone (404) 364-0555

Hospital & facility affiliations

  • Integris Southwest Medical Center Hospital, Oklahoma City, OK, CCN 370106
  • Norman Regional Hospital, Norman, OK, CCN 370008
  • Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8861OKMDPharmacist
V5625TXMDFamily Medicine Physician
BP10050625TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Ambulatory Care Corporation Family Medicine CurrentSince Aug 25, 2025 Accepting new patients
Integris Ambulatory Care C Orporation Family Medicine Past Accepting new patients

Locations

700 24th Ave NW
Norman, OK 73069
Phone (405) 364-0555

2361 36th Ave NW
Norman, OK 73072

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

3001 Quail Springs Pkwy
Fl 5
Oklahoma City, OK 73134

Interoperability endpoints

  • Direct secure messaging: bwhitley540567@direct.integrisok.com
  • Direct secure messaging: bwhitley703438@ahs.direct-ci.com

Organizations & group practices 2

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 8

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": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1427789643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2361 36TH AVE NW",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730722908",
            "telephone_number": "405-364-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2361 36TH AVE NW",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730722908",
            "telephone_number": "405-364-0555",
            "fax_number": "405-951-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLEY",
        "first_name": "BRIAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-20",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "8861",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10050625",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "V5625",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.