Active NPI
Bruce Dobey, PA-C
- Physician Assistant
- Oklahoma City, OK
National Provider Identifier
1699015206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2207
- Practice address
- 3433 NW 56TH St
Suite 950
Oklahoma City, OK 73112-4455 - Phone
- (405) 713-9940
- Fax
- (405) 713-9941
- NPI assigned
- Feb 19, 2013
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2207 | OK | Primary |
Addresses
Primary practice location
3433 NW 56TH St
Suite 950
Oklahoma City, OK 73112-4455
Mailing address
5300 N Independence Ave
Suite 280
Oklahoma City, OK 73112-5556
Phone (405) 713-9940
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2207 | OK | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500595200000",
"number": "1699015206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 N INDEPENDENCE AVE",
"address_2": "SUITE 280",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731125556",
"telephone_number": "405-713-9940",
"fax_number": "405-713-9941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3433 NW 56TH ST",
"address_2": "SUITE 950",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731124455",
"telephone_number": "405-713-9940",
"fax_number": "405-713-9941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBEY",
"first_name": "BRUCE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-19",
"last_updated": "2017-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "2207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.