Individual provider Active NPI

Brian Craig Diener, DO

  • Surgery Physician
  • Tulsa, OK
National Provider Identifier
1699717322
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
3943 Issued in OK
Practice address
802 S Jackson Ave Ste 505
Tulsa, OK 74127-9060
Phone
(918) 747-5322
Fax
(918) 746-7604
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 3943 OK Primary

Addresses

Primary practice location

802 S Jackson Ave Ste 505
Tulsa, OK 74127-9060

Mailing address

802 S Jackson Ave Ste 505
Tulsa, OK 74127-9060
Phone (918) 747-5322

Other identifiers 1

IdentifierTypeStateIssuer
200086360AMedicaidOK

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
I20040813000215 OK Practitioner - General SurgeryPractitioner - Vascular Surgery 8325011901 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Oklahoma State University College of Osteopathic Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oklahoma State UniversityGroup PAC ID 2769739358, 110 clinicians

Practice addresses (Care Compare)

2345 Southwest Blvd
Tulsa, OK 74107-2705
Phone (918) 561-5701

Hospital & facility affiliations

  • Oklahoma State University Medical Center Hospital, Tulsa, OK, CCN 370078
  • Saint Francis Hospital Muskogee Hospital, Muskogee, OK, CCN 370025
  • Rural Wellness Stroud Hospital Hospital, Stroud, OK, CCN 371316
  • McCurtain Memorial Hospital Hospital, Idabel, OK, CCN 371342

Merit-based Incentive Payment System (MIPS)

Final score
93.91 of 100Reported as group
Quality
77.78
Promoting interoperability
99
Improvement activities
40
Cost
73.95

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy11
Upper gastrointestinal (GI) endoscopy for acid reflux30
Removal of tissue15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3943OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Adair County Health Center, Inc. CurrentSince Jan 22, 2021 Accepting new patients
Oklahoma State University Current Accepting new patients
Adair County Health Center, Inc. Current Accepting new patients
Adair County Health Center,Inc. CurrentSince Jan 22, 2021 Accepting new patients
Oklahoma State University CurrentSince Jan 1, 2020 Accepting new patients
One Cura Family Clinic-Stroud, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Rural Wellness Stroud Clinic Inc Current Accepting new patients
State of Oklahoma Past Accepting new patients
Oklahoma State University Medical Trust Past Accepting new patients

Locations

042 Murray
Stillwater, OK 74078
Phone (405) 744-6021

1401 W Locust St
Ste 102
Stilwell, OK 74960
Phone (918) 696-3101

2308B W Highway 66
Stroud, OK 74079
Phone (918) 968-1642

Dept 2563
Tulsa, OK 74182

2345 Southwest Blvd
Tulsa, OK 74107
Phone (918) 582-1980

Interoperability endpoints

  • Direct secure messaging: bdiener50604@direct.saintfrancis.com
  • Direct secure messaging: bdiener714722@directa.mercy.net

Organizations & group practices 9

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1699717322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 S JACKSON AVE STE 505",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741279060",
            "telephone_number": "918-747-5322",
            "fax_number": "918-746-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 S JACKSON AVE STE 505",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741279060",
            "telephone_number": "918-747-5322",
            "fax_number": "918-746-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIENER",
        "first_name": "BRIAN",
        "middle_name": "CRAIG",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "3943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200086360A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.