E Bradley Garber, M.D., P.C.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

15059 Issued in OK

Legal business name

E BRADLEY GARBER, M.D., P.C.

Practice address

1784 S Utica Ave
Tulsa, OK 74104-5336

Phone

(918) 745-2117

Fax

(918) 745-2178

NPI assigned

Jul 6, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Eugene Bradley Garber, M.D.NPI 1508861378

Title

P.C.

Phone

(918) 745-2117

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eugene Bradley Garber Jr., M.D.

  • Plastic Surgery Physician
  • Tulsa, OK
  • NPI 1508861378
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1629365085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1784 S UTICA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045336",
            "telephone_number": "918-745-2117",
            "fax_number": "918-745-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1784 S UTICA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045336",
            "telephone_number": "918-745-2117",
            "fax_number": "918-745-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E BRADLEY GARBER, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-06",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "GARBER",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "P.C.",
        "authorized_official_telephone_number": "918-745-2117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "OK",
            "license": "15059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100084420A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Hampton Marler Dyer
• Elizabeth Dygert
• Aubrey Dykes
• Dynamic Prosthetics
• Jozef Dzurilla, D.O
• E Plus Pet Imaging VI LP
• Melissa Eads
• Zoe Eager
• Margaret Kathleen Eagler, MS
• Alison Jane Eagleton, APRN-CNS

• Plastic and Reconstructive Surgery Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Plastic and Reconstructive Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.