Individual provider Active NPI

Brad Aaron White, D.O.

  • Anesthesiology Physician
  • Tulsa, OK
National Provider Identifier
1578730685
Registry record updated Feb 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
4696 Issued in OK
Practice address
1611 S Utica Ave
Box 217
Tulsa, OK 74104-4909
Phone
(918) 744-3664
Fax
(918) 748-7688
NPI assigned
May 8, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4696 OK Primary

Addresses

Primary practice location

1611 S Utica Ave
Box 217
Tulsa, OK 74104-4909

Mailing address

6009 W Charleston St
Broken Arrow, OK 74011-1483
Phone (405) 747-0133

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
I20110901000138 OK Practitioner - Anesthesiology 7911177886 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Oklahoma State University College of Osteopathic Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utb Anesthesia PLLCGroup PAC ID 0547448524, 23 clinicians

Practice addresses (Care Compare)

744 W 9TH St
Tulsa, OK 74127-9907
Phone (918) 599-1000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Medical Professionals, PLLC Anesthesiology CurrentSince Aug 1, 2021 Accepting new patients
Pmo Medical PLLC CurrentSince Dec 5, 2018 Accepting new patients
Northstar Anesthesia of Oklahoma, PLLC Anesthesiology CurrentSince Dec 2, 2022 Accepting new patients
Pmo Medical PLLC CurrentSince Dec 5, 2018 Accepting new patients

Locations

3500 E Frank Phillips Blvd
Bartlesville, OK 74006
Phone (918) 331-1555

1751 N Aspen Ave
Broken Arrow, OK 74012
Phone (561) 420-4453

4801 Integris Pkwy
Edmond, OK 73034
Phone (405) 657-3000

5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700

4401 S Western Ave
Oklahoma City, OK 73109
Phone (405) 636-7000

401 E Broadway Ct
Ste A
Sand Springs, OK 74063
Phone (918) 246-3456

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391817600000",
    "number": "1578730685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6009 W CHARLESTON ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740111483",
            "telephone_number": "405-747-0133",
            "fax_number": "918-748-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 S UTICA AVE",
            "address_2": "BOX 217",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044909",
            "telephone_number": "918-744-3664",
            "fax_number": "918-748-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "BRAD",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-08",
        "last_updated": "2014-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "4696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.