Individual provider Active NPI

Brad A Marion, M.D.

  • Pulmonary Disease Physician
  • Oklahoma City, OK
National Provider Identifier
1679644348
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
12510 Issued in OK
Practice address
6205 N Santa Fe Ave
Suite 201
Oklahoma City, OK 73118-7537
Phone
(405) 272-8338
Fax
(405) 272-6030
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 12510 OK Primary

Addresses

Primary practice location

6205 N Santa Fe Ave
Suite 201
Oklahoma City, OK 73118-7537

Mailing address

6205 N Santa Fe Ave
Suite 201
Oklahoma City, OK 73118-7537
Phone (405) 272-8338

Other identifiers 1

IdentifierTypeStateIssuer
100057450AMedicaidOK

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bmarion32061@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070808000169 OK Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 6608967450 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Saints Medical Group, LLC CurrentSince May 1, 2007 Accepting new patients
Saints Medical Group, LLC Pulmonary Disease CurrentSince May 1, 2007 Accepting new patients
SSM Health Care of Oklahoma Inc CurrentSince Mar 1, 2011 Accepting new patients
SSM Health Care of Oklahoma, Inc. CurrentSince Mar 1, 2011 Accepting new patients
SSM Health Care of Oklahoma, Inc Current Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

7106 Solutions Ctr
Chicago, IL 60677

2825 Parklawn Dr
Oklahoma City, OK 73110
Phone (405) 245-1453

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

608 NW 9th St
Ste 1100
Oklahoma City, OK 73102
Phone (405) 231-3000

608 NW 9th St
Ste 3110
Oklahoma City, OK 73102
Phone (405) 272-7055

777 NW 63rd St
Fl 4
Oklahoma City, OK 73116
Phone (405) 231-3818

6205 N Santa Fe Ave
Ste 201
Oklahoma City, OK 73118
Phone (405) 272-5500

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1679644348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6205 N SANTA FE AVE",
            "address_2": "SUITE 201",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731187537",
            "telephone_number": "405-272-8338",
            "fax_number": "405-272-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6205 N SANTA FE AVE",
            "address_2": "SUITE 201",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731187537",
            "telephone_number": "405-272-8338",
            "fax_number": "405-272-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARION",
        "first_name": "BRAD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OK",
            "license": "12510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100057450A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmarion32061@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "bmarion32061@direct-ehr-ssmhc.com",
            "address_1": "6205 N Santa Fe Ave",
            "address_2": "Suite 201",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731187537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "6205 N Santa Fe Ave",
            "address_2": "Suite 201",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731187537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.