NPIMap

Individual provider Active NPI

Brandon Taylor Narr, P.A.

  • Medical Physician Assistant
  • Oklahoma City, OK
National Provider Identifier
1629039235
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
940 Issued in OK
Practice address
4300 W Memorial Rd
ER Dept.
Oklahoma City, OK 73120-8304
Phone
(405) 752-3733
Fax
(405) 749-4561
NPI assigned
Mar 31, 2006
Last updated
Nov 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 940 OK Primary

Addresses

Primary practice location

4300 W Memorial Rd
ER Dept.
Oklahoma City, OK 73120-8304

Mailing address

4401 W Memorial Rd
Suite 121
Oklahoma City, OK 73134-1785
Phone (405) 751-4664

Other identifiers 2

IdentifierTypeStateIssuer
100138440AMedicaidOK
P00243418OtherOKRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040810000956 OK Practitioner - Physician Assistant 4284606260 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cah Acquisition Company 9 LLCGroup PAC ID 0941354823, 15 clinicians

Practice addresses (Care Compare)

809 NE Hwy 60
Seiling, OK 73663

809 NE Hwy 60
Seiling, OK 73663-2705
Phone (580) 377-1005

PO Box
Suite 1043
Seiling, OK 73663

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
940OKMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Seiling Municipal Hospital Authority CurrentSince Jan 1, 2025 Accepting new patients
Prague Healthcare Authority CurrentSince Feb 17, 2021 Accepting new patients
Prague Healthcare Authority CurrentSince Feb 16, 2015 Accepting new patients
Seminole HMPN, LLC Past Accepting new patients
Seminole Health Center LLC Past Accepting new patients
Mercy Health Services Inc. Past Accepting new patients
Rha Stroud Inc Past Accepting new patients
Cah Acquisition Company 9, LLC Past Accepting new patients
Seminole Hma, LLC Past Accepting new patients

Locations

1322 Klabzuba Ave
Prague, OK 74864
Phone (405) 567-2295

1322 Klabzuba Ave
Ste A
Prague, OK 74864
Phone (405) 567-4922

809 NE Highway 60
Seiling, OK 73663
Phone (580) 377-1005

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194566400000",
    "number": "1629039235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 W MEMORIAL RD",
            "address_2": "SUITE 121",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341785",
            "telephone_number": "405-751-4664",
            "fax_number": "405-749-4561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 W MEMORIAL RD",
            "address_2": "ER DEPT.",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208304",
            "telephone_number": "405-752-3733",
            "fax_number": "405-749-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARR",
        "first_name": "BRANDON",
        "middle_name": "TAYLOR",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2007-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100138440A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00243418",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.