Individual provider Active NPI

Brian L Raper

  • Local Education Agency (LEA)
  • Edmond, OK
National Provider Identifier
1518852177
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
193388 Issued in OK
Practice address
19005 Hill Valley Way
Edmond, OK 73012-0002
Phone
(405) 408-6289
NPI assigned
Jun 12, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X 193388 OK Primary

Addresses

Primary practice location

19005 Hill Valley Way
Edmond, OK 73012-0002

Mailing address

19005 Hill Valley Way
Edmond, OK 73012-0002
Phone (405) 408-6289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
193388OKMDLocal Education Agency (LEA)

NPI Registry JSON

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1518852177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19005 HILL VALLEY WAY",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730120002",
            "telephone_number": "405-408-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19005 HILL VALLEY WAY",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730120002",
            "telephone_number": "405-408-6289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPER",
        "first_name": "BRIAN",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "OK",
            "license": "193388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.