Active NPI
Tobie L Bresloff, MD
- Endocrinology, Diabetes & Metabolism Physician
- Tulsa, OK
National Provider Identifier
1467422790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 14852
- Practice address
- 1725 E 19TH St
Ste 500
Tulsa, OK 74104-5437 - Phone
- (918) 748-7560
- Fax
- (918) 293-3128
- NPI assigned
- Jan 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 14852 | OK | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 14852 | OK | Primary |
Addresses
Primary practice location
1725 E 19TH St
Ste 500
Tulsa, OK 74104-5437
Mailing address
1725 E 19TH St
Ste 500
Tulsa, OK 74104-5437
Phone (918) 748-7560
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100014090A | Medicaid | OK | |
| P00016229 | Other | OK | MEDICARE RAILROAD |
| OK400767 | Other | OK | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14852 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integris Cardiovascular Physicians LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Cardiovascular Disease Physician
- Oklahoma City, OK
- NPI 1306129598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352246400000",
"number": "1467422790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 E 19TH ST",
"address_2": "STE 500",
"city": "TULSA",
"state": "OK",
"postal_code": "741045437",
"telephone_number": "918-748-7560",
"fax_number": "918-293-3128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 E 19TH ST",
"address_2": "STE 500",
"city": "TULSA",
"state": "OK",
"postal_code": "741045437",
"telephone_number": "918-748-7560",
"fax_number": "918-293-3128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRESLOFF",
"first_name": "TOBIE",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-26",
"last_updated": "2012-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OK",
"license": "14852",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "OK",
"license": "14852",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100014090A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00016229",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "OK400767",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.