Active NPI
Brandon Shane Hyman, CPO
- Prosthetist
- Norman, OK
National Provider Identifier
1639499494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- LPO79
- Practice address
- 3451 36TH Ave NW Ste 180
Norman, OK 73072-2483 - Phone
- (405) 447-5402
- Fax
- (405) 447-5684
- NPI assigned
- Jun 3, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | LPO79 | OK | Primary |
| Orthotist | 222Z00000X | LPO79 | OK |
Addresses
Primary practice location
3451 36TH Ave NW Ste 180
Norman, OK 73072-2483
Mailing address
3451 36TH Ave NW Ste 180
Norman, OK 73072-2483
Phone (405) 447-5402
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CPO02663 | Other | AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS, & PEDORTHICS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPO79 | OK | MD | Orthotist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335484800000",
"number": "1639499494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3451 36TH AVE NW STE 180",
"city": "NORMAN",
"state": "OK",
"postal_code": "730722483",
"telephone_number": "405-447-5402",
"fax_number": "405-447-5684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3451 36TH AVE NW STE 180",
"city": "NORMAN",
"state": "OK",
"postal_code": "730722483",
"telephone_number": "405-447-5402",
"fax_number": "405-447-5684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYMAN",
"first_name": "BRANDON",
"middle_name": "SHANE",
"name_prefix": "Mr.",
"credential": "CPO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-03",
"last_updated": "2012-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "OK",
"license": "LPO79",
"primary": true
},
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "OK",
"license": "LPO79",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS, & PEDORTHICS",
"identifier": "CPO02663",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.