Blick Medical LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

BLICK MEDICAL LLC

Practice address

1007 N Main St Ste 101
Elk City, OK 73644-2830

Phone

(580) 339-8001

Fax

(580) 339-8031

NPI assigned

Jul 28, 2017

Last updated

May 1, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian Blick, MDNPI 1992143051

Title

Physician/Owner

Phone

(580) 339-8001

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian E Blick, MD

  • Anesthesiology Physician
  • Elk City, OK
  • NPI 1992143051
  Authorized official Same address or phone

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1467976654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 W 3RD ST STE 100",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736445160",
            "telephone_number": "580-339-8001",
            "fax_number": "580-339-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 N MAIN ST STE 101",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736442830",
            "telephone_number": "580-339-8001",
            "fax_number": "580-339-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLICK MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-28",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "BLICK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "580-339-8001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200734120A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Benton
• Aspen Best
• Daniel Gene Bintz, O.D.
• Kelly Lynn Birdshead
• Nichole Marie Blackburn, FNP-C
• Brian E Blick, MD
• Rachel Michelle Bliss, BS. CADC UNDER SUP.
• Amanda Bogle, PTA
• Jessica Lei Boone
• Dale A Boren Jr., PT, MPT

• Pain Medicine (Anesthesiology) Physician in Elk City, OK
• Providers in Elk City, OK by specialty
• Pain Medicine (Anesthesiology) Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.