B.L. Carpenter, M.D. Clinic, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

21320 Issued in OK

Legal business name

B.L. CARPENTER, M.D. CLINIC, PLLC

Doing business as

B.L. Carpenter, M.D.

Practice address

203 N Weigle Ave
Watonga, OK 73772-3840

Phone

(580) 623-7444

Fax

(580) 623-7447

NPI assigned

May 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Byron Lee Carpenter, M.D.

Title

Owner/Sole Propriator

Phone

(580) 623-7444

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• B.L. Carpenter, M.D. Doing business as

Locations

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1659547248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 N WEIGLE AVE",
            "city": "WATONGA",
            "state": "OK",
            "postal_code": "737723840",
            "telephone_number": "580-623-7444",
            "fax_number": "580-623-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N WEIGLE AVE",
            "city": "WATONGA",
            "state": "OK",
            "postal_code": "737723840",
            "telephone_number": "580-623-7444",
            "fax_number": "580-623-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B.L. CARPENTER, M.D. CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-02",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "BYRON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/SOLE PROPRIATOR",
        "authorized_official_telephone_number": "580-623-7444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "21320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100230090A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "B.L. Carpenter, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ginger Anderson, APRN CNP
• Andrea Matli Scoville DDS PC
• Susan Apple
• Brianna Auge, LPC
• Crystal Axelson
• Flauryse M Baguidy, DMD
• Cortney Barrett, NP
• Staci D Black
• Mary Beth Bohnet, MBA
• Tanya R Brady, B.A.

• Family Medicine Physician in Watonga, OK
• Providers in Watonga, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.

Verify at the official NPI Registry.