Bryan Andrew Vandoren, M.D.

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

License

17313 Issued in OK

Practice address

6130 E 81St St
Tulsa, OK 74137-2125

Phone

(918) 401-1002

Fax

(918) 493-3304

NPI assigned

Jun 3, 2006

Last updated

Nov 18, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Addiction MedicineAlso: Internal Medicine

Education

University of Kansas School of Med (KC/Wich/Sal), 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinton J Baird PLCGroup PAC ID 7911242961, 15 clinicians

Advanced Pain of Tulsa PLLCGroup PAC ID 5890034144, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

57.52 of 100Reported as group

Quality

0

Improvement activities

40

Cost

77.3

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: advancedpainoftulsa.bryanvandoren@141752.advancedmd-direct.com

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.

• Advanced Pain of Tulsa PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Tulsa, OK
  • NPI 1699246645
  Medicare reassignment Care Compare group NPD
• Clinton J Baird PLC

  dba Olympia Neurological Institute

  • Neurological Surgery Physician
  • Tulsa, OK
  • NPI 1912474974
  Medicare reassignment Care Compare group NPD
• Access Solutions Medical Group II

  • Family Medicine Physician
  • Okmulgee, OK
  • NPI 1174024426
  NPD
• Clinton J Baird PLC

  dba Olympia Neurological Institute

  • Neurological Surgery Physician
  • Tulsa, OK
  • NPI 1376324087
  NPD
• Dermatology & Allergy Solutions LLC

  • Multi-Specialty Clinic/Center
  • Broken Arrow, OK
  • NPI 1619371473
  NPD (past)
• Hatton Anesthesia LLC

  • Anesthesiology Physician
  • Tulsa, OK
  • NPI 1659922201
  NPD (past)
• Oklahoma Oncology & Hematology PC

  • Hematology & Oncology Physician
  • Tulsa, OK
  • NPI 1295785392
  NPD (past)
• Oklahoma Oncology and Hematology, P.C.

  dba Cancer Care Associates

  • Hematology & Oncology Physician
  • Tulsa, OK
  • NPI 1972827046
  NPD (past)
• Mission Treatment Centers, Inc.

  dba Henderson Comprehensive Treatment Center

  • Methadone Clinic
  • Henderson, NV
  • NPI 1154637429
  NPD (past)

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1447298120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6130 E 81ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372125",
            "telephone_number": "918-401-1002",
            "fax_number": "918-493-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 E 81ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372125",
            "telephone_number": "918-401-1002",
            "fax_number": "918-493-3304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 W Carl Hubbell Blvd",
            "address_purpose": "LOCATION",
            "city": "Meeker",
            "state": "OK",
            "postal_code": "748559162",
            "country_code": "US",
            "telephone_number": "405-407-1025",
            "fax_number": "918-493-3304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1317 S Dewey Ave",
            "address_purpose": "LOCATION",
            "city": "Wagoner",
            "state": "OK",
            "postal_code": "744677013",
            "country_code": "US",
            "telephone_number": "918-401-1002",
            "fax_number": "918-493-3304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1030 E Washington Ave",
            "address_purpose": "LOCATION",
            "city": "McAlester",
            "state": "OK",
            "postal_code": "745014850",
            "country_code": "US",
            "telephone_number": "918-401-1002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDOREN",
        "first_name": "BRYAN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "OK",
            "license": "17313",
            "primary": true
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "OK",
            "license": "17313",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100229400A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Vanderwall, DO
• Lindsey Brook Vandeventer, LCSW
• Jonah R.B. Vandiver, D.D.S.
• Kerri Lynn Vandiver, ARNP
• Brianna Alexis Vandoren
• Jessica Vandyk, LAT, ATC
• Erica Vanfleet
• Ana Vang
• Edna Ta Vang, APRN-CNP
• Ka Zoua Vang, RN

• Addiction Medicine (Internal Medicine) Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Addiction Medicine (Internal Medicine) Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.