Brian Paul Sullivan

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

6120 N Meridian Ave Apt 506
Oklahoma City, OK 73112-1279

Phone

(918) 316-0112

NPI assigned

Nov 16, 2021

Last updated

Nov 16, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Brian Paul Aiken Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1679239438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 N MERIDIAN AVE APT 506",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731121279",
            "telephone_number": "918-316-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 N MERIDIAN AVE APT 506",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731121279",
            "telephone_number": "918-316-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "BRIAN",
        "middle_name": "PAUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-16",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIAN",
            "last_name": "AIKEN",
            "middle_name": "PAUL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Suki Group
• Quentin Sukut, CRNA
• Tara Marie Sukut, APRN
• Kenedee Sullins
• Rusty Wade Sullins, DDS
• Carol Elizabeth Sullivan, NBC-HWC
• Crystal Ladawn Sullivan, BA, BHRS
• Indy Sullivan, COTA
• J Andy Sullivan, MD
• Kendra E Sullivan, CADC UNDER SUPERVISI

• Peer Specialist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.