Individual provider Active NPI

Brett Cauthen, MD

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1487818449
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25197 Issued in OK
Practice address
701 NE 36TH St
Oklahoma City, OK 73105-7203
Phone
(405) 631-0611
NPI assigned
Jul 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N0680 TX
Family Medicine Physician 207Q00000X 25197 OK Primary

Addresses

Primary practice location

701 NE 36TH St
Oklahoma City, OK 73105-7203

Mailing address

701 NE 36TH St
Oklahoma City, OK 73105-7203
Phone (405) 631-0611

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
I20100208000829 OK Practitioner - Family Practice 3779626015

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Simple Clinic, LLC Current Accepting new patients
Today Clinic Texas PLLC Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

415 SW 59th St
Oklahoma City, OK 73109
Phone (405) 631-1677

Organizations & group practices 3

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": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1487818449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 NE 36TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731057203",
            "telephone_number": "405-631-0611",
            "fax_number": "405-631-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 NE 36TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731057203",
            "telephone_number": "405-631-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUTHEN",
        "first_name": "BRETT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-17",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N0680",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "25197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.