Active NPI
Doyle D. Bender, MD
- Emergency Medicine Physician
- Tulsa, OK
National Provider Identifier
1659338796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 17677
- Practice address
- 2929 S Garnett Rd
Tulsa, OK 74129-5101 - Phone
- (918) 665-1520
- Fax
- (405) 749-4561
- NPI assigned
- May 1, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 17677 | OK | Primary |
Addresses
Primary practice location
2929 S Garnett Rd
Tulsa, OK 74129-5101
Mailing address
PO Box 22063
Dept 0289
Tulsa, OK 74121-2063
Phone (405) 751-4664
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100187800B | Medicaid | OK | |
| 100187800A | Medicaid | OK |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17677 | OK | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211846400000",
"number": "1659338796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22063",
"address_2": "DEPT 0289",
"city": "TULSA",
"state": "OK",
"postal_code": "741212063",
"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": "2929 S GARNETT RD",
"city": "TULSA",
"state": "OK",
"postal_code": "741295101",
"telephone_number": "918-665-1520",
"fax_number": "405-749-4561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENDER",
"first_name": "DOYLE",
"middle_name": "D.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2008-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "17677",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100187800B",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100187800A",
"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 May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.