Braulio Manny Cuesta, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

13348 Issued in OK

Practice address

1400 Bryan Dr
Durant, OK 74701-2158

Phone

(580) 920-0105

Fax

(580) 920-0893

NPI assigned

May 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Wolff Chiropractic Clinic Inc

  • Chiropractor
  • Durant, OK
  • NPI 1265552178
  NPD (past)

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301616000000",
    "number": "1710934146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 BRYAN DR",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012158",
            "telephone_number": "580-920-0105",
            "fax_number": "580-920-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BRYAN DR",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012158",
            "telephone_number": "580-920-0105",
            "fax_number": "580-920-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUESTA",
        "first_name": "BRAULIO",
        "middle_name": "MANNY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2011-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "13348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100129250A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elton Riley Crofford
• Kevin Wallace Croft, M.D.
• Caitlyn Hope Cromer
• Jennifer Vanette Crouse, BA
• David Kyle Crowell
• Jay W Cuesta, FNP-C
• Leslee Brooke Cummins-Meade
• Stephen Hunter Cunningham
• Tresa Curtis
• Deborah Dailey

• Obstetrics & Gynecology Physician in Durant, OK
• Providers in Durant, OK by specialty
• Obstetrics & Gynecology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.