Active NPI
Brian L Flournoy, D.C.
- Chiropractor
- Tulsa, OK
National Provider Identifier
1639261670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3208
- Practice address
- 3314 E 46TH St
Suite 102
Tulsa, OK 74135-2926 - Phone
- (918) 728-8800
- Fax
- (918) 728-8801
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3208 | OK | Primary |
Addresses
Primary practice location
3314 E 46TH St
Suite 102
Tulsa, OK 74135-2926
Mailing address
3314 E 46TH St
Suite 102
Tulsa, OK 74135-2926
Phone (918) 728-8800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 731540956 | Other | OK | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060210000001 | OK | Practitioner - Chiropractic | 0648285866 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spinal Decompression Center of Tulsa, LLC | Chiropractor | Past | Accepting new patients |
| Peterson Chiropractic | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Tulsa, OK
- NPI 1184759508
-
- Chiropractor
- Tulsa, OK
- NPI 1578748133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307491200000",
"number": "1639261670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3314 E 46TH ST",
"address_2": "SUITE 102",
"city": "TULSA",
"state": "OK",
"postal_code": "741352926",
"telephone_number": "918-728-8800",
"fax_number": "918-728-8801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3314 E 46TH ST",
"address_2": "SUITE 102",
"city": "TULSA",
"state": "OK",
"postal_code": "741352926",
"telephone_number": "918-728-8800",
"fax_number": "918-728-8801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOURNOY",
"first_name": "BRIAN",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2011-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OK",
"license": "3208",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "731540956",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.