NPIMap

Organization Active NPI

Scott Newbrough MD PLLC

Doing business as Restore Plastic Surgery Center

  • Plastic and Reconstructive Surgery Physician
  • Edmond, OK
National Provider Identifier
1689809824
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
26809 Issued in OK
Legal business name
SCOTT NEWBROUGH MD PLLC
Doing business as
Restore Plastic Surgery Center
Practice address
3824 S Boulevard St
Suite 110
Edmond, OK 73013-5478
Phone
(405) 715-2227
NPI assigned
May 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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

Authorized official

Name
Dr. Scott Alan Newbrough, M.D.
Title
Owner
Phone
(405) 715-2227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X 26809 OK Primary

Addresses

Primary practice location

3824 S Boulevard St
Suite 110
Edmond, OK 73013-5478

Mailing address

3824 S Boulevard St
Suite 110
Edmond, OK 73013-5478
Phone (405) 715-2227

Other names 1

  • RESTORE PLASTIC SURGERY CENTER Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249948800000",
    "number": "1689809824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 S BOULEVARD ST",
            "address_2": "SUITE 110",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135478",
            "telephone_number": "405-715-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3824 S BOULEVARD ST",
            "address_2": "SUITE 110",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135478",
            "telephone_number": "405-715-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT NEWBROUGH MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2009-08-11",
        "status": "A",
        "authorized_official_last_name": "NEWBROUGH",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-715-2227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "OK",
            "license": "26809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RESTORE PLASTIC SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; 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.