Active NPI
Colton Carlson
- Neurology Physician
- Oklahoma City, OK
National Provider Identifier
1497672786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 50015
- Practice address
- 920 Stanton L Young Blvd
Oklahoma City, OK 73104-5020 - Phone
- (405) 271-4113
- NPI assigned
- Jun 30, 2026
- Last updated
- Jul 24, 2026
- Sex
- Unspecified or another gender identity
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 50015 | OK | |
| Neurology Physician | 2084N0400X | 50015 | OK | Primary |
Addresses
Primary practice location
920 Stanton L Young Blvd
Oklahoma City, OK 73104-5020
Mailing address
14554 NE 50TH St
Choctaw, OK 73020-9522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50015 | OK | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1497672786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14554 NE 50TH ST",
"city": "CHOCTAW",
"state": "OK",
"postal_code": "730209522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 STANTON L YOUNG BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045020",
"telephone_number": "405-271-4113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "COLTON",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-06-30",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OK",
"license": "50015",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OK",
"license": "50015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.