Organization Active NPI

Bryan Lucenta Inc

  • Cardiovascular Disease Physician
  • Tulsa, OK
National Provider Identifier
1710098108
Registry record updated Oct 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
BRYAN LUCENTA INC
Practice address
10505 E 91St St
Suite 202
Tulsa, OK 74133-5829
Phone
(918) 994-5580
Fax
(918) 994-5585
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2013

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

Authorized official

Name
Bryan Allen Lucenta, MD
Title
Owner
Phone
(918) 994-5580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

10505 E 91St St
Suite 202
Tulsa, OK 74133-5829

Mailing address

10505 E 91St St
Suite 202
Tulsa, OK 74133-5829
Phone (918) 994-5580

National Provider Directory

National Provider Directory

Locations

2617 S Elm Pl
Ofc
Broken Arrow, OK 74012

10505 E 91st St
Ste 202
Tulsa, OK 74133

10505 E 91st St
#S202
Tulsa, OK 74133

4200 E Skelly Dr
Ste 200
Tulsa, OK 74135

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382659200000",
    "number": "1710098108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10505 E 91ST ST",
            "address_2": "SUITE 202",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335829",
            "telephone_number": "918-994-5580",
            "fax_number": "918-994-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10505 E 91ST ST",
            "address_2": "SUITE 202",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335829",
            "telephone_number": "918-994-5580",
            "fax_number": "918-994-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN LUCENTA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-10-25",
        "status": "A",
        "authorized_official_last_name": "LUCENTA",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-994-5580",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; 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.