NPIMap

Organization Active NPI

Breast Care Specialists of Oklahoma, LLC

  • Diagnostic Radiology Physician
  • Oklahoma City, OK
National Provider Identifier
1699245852
Registry record updated Nov 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
BREAST CARE SPECIALISTS OF OKLAHOMA, LLC
Practice address
13401 N Macarthur Blvd
Oklahoma City, OK 73142-9109
Phone
(405) 755-2273
Fax
(405) 751-3505
NPI assigned
Nov 30, 2018
Last updated
Nov 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2018

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

Authorized official

Name
Glenna Young, MD
Title
President
Phone
(405) 755-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

13401 N Macarthur Blvd
Oklahoma City, OK 73142-9109

Mailing address

PO Box 5460
Longview, TX 75608-5460
Phone (903) 663-8663

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543536000000",
    "number": "1699245852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5460",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756085460",
            "telephone_number": "903-663-8663",
            "fax_number": "903-663-7394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13401 N MACARTHUR BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731429109",
            "telephone_number": "405-755-2273",
            "fax_number": "405-751-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAST CARE SPECIALISTS OF OKLAHOMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-30",
        "last_updated": "2018-11-30",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "GLENNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-755-2273",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "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 Nov 30, 2018; 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.