Bryan S Simms, DO

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

2980 Issued in OK

Practice address

10109 E 79TH St
10109 E. 79TH Street
Tulsa, OK 74133-4564

Phone

(918) 286-5000

Fax

(918) 249-7532

NPI assigned

Oct 25, 2006

Sex

Male

Sole proprietor

No

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.

• Providence Physician Group Inc

  • Certified Registered Nurse Anesthetist
  • Muskogee, OK
  • NPI 1861436636

  Anesthesiology

  NPD (past)
• St. John Physicians, Inc.

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1336194406
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 16, 2015.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1508940479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10109 E 79TH ST",
            "address_2": "CANCER TREATMENT CENTERS OF AMERICA",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334564",
            "telephone_number": "918-286-5000",
            "fax_number": "918-249-7532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10109 E 79TH ST",
            "address_2": "10109 E. 79TH STREET",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334564",
            "telephone_number": "918-286-5000",
            "fax_number": "918-249-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMS",
        "first_name": "BRYAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "2980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100113470A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lai Simmons
• Rachel Simmons, LCSW
• Sandra Ellen Simmons
• Valerie Simmons
• Alexandra Simms
• Raymond Virgil Simms, LPC
• Simon a Levit, MD
• James A Simon, M.D.
• Melody Monica Simon, RN
• Nicholas Anthony Simon Jr.

• All providers in Tulsa, OK
• Anesthesiology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.