Individual provider Active NPI

Bryan Scott Howard, P.A.-C

  • Physician Assistant
  • Tulsa, OK
National Provider Identifier
1477824837
Registry record updated Sep 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2090 Issued in OK
Practice address
11912 S Norwood Ave
Tulsa, OK 74137-5547
Phone
(918) 943-5303
Fax
(855) 312-3594
NPI assigned
Jan 17, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2090 OK Primary

Addresses

Primary practice location

11912 S Norwood Ave
Tulsa, OK 74137-5547

Mailing address

PO Box 200
Jenks, OK 74037-0200
Phone (918) 943-5303

Other practice location 1

13616 E 103rd St N Ste C
Owasso, OK 74055-4592
Phone (918) 943-5303

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120208000975 OK Practitioner - Physician Assistant 8224295852 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2090OKMDOptometrist
PA2090OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Clinic Inc CurrentSince Dec 14, 2020 Accepting new patients
St. John Physicians, Inc CurrentSince Oct 14, 2014 Accepting new patients
St. John Physicians, Inc. CurrentSince Oct 14, 2014 Accepting new patients

Locations

1000 W Boise Cir
Broken Arrow, OK 74012
Phone (918) 994-8000

300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501

2000 S Wheeling Ave
Ste 200
Tulsa, OK 74104
Phone (918) 748-7854

10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200

1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789171200000",
    "number": "1477824837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740370200",
            "telephone_number": "918-943-5303",
            "fax_number": "855-312-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11912 S NORWOOD AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741375547",
            "telephone_number": "918-943-5303",
            "fax_number": "855-312-3594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13616 E 103rd St N Ste C",
            "address_purpose": "LOCATION",
            "city": "Owasso",
            "state": "OK",
            "postal_code": "740554592",
            "country_code": "US",
            "telephone_number": "918-943-5303",
            "fax_number": "855-312-3594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "BRYAN",
        "middle_name": "SCOTT",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-17",
        "last_updated": "2026-09-12",
        "certification_date": "2026-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "PA2090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.