Active NPI
Brent C Nossaman, D.O.
- Orthopaedic Surgery Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 3041
- Practice address
- 2448 E 81St St Ste 1300
Tulsa, OK 74137-4305 - Phone
- (918) 550-8950
- Fax
- (918) 550-8952
- NPI assigned
- Mar 23, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | 3041 | OK | |
| Orthopaedic Surgery Physician | 207X00000X | 3041 | OK | Primary |
Addresses
Primary practice location
2448 E 81St St Ste 1300
Tulsa, OK 74137-4305
Mailing address
2448 E 81St St Ste 1300
Tulsa, OK 74137-4305
Phone (918) 550-8950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100195130A | Medicaid | OK |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hand Surgery
- Education
- Oklahoma State University College of Osteopathic Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2448 E 81St St
Suite 1300
Tulsa, OK 74137-4305
Phone (918) 550-8950
Hospital & facility affiliations
- Oklahoma Surgical Hospital, LLC
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 28 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3041 | OK | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upper Extremity Orthopedic Specialists PLLC | Orthopaedic Surgery | Current | Accepting new patients |
| Osu Health System Anesthesia | Past | Accepting new patients |
Locations
2448 E 81st St
Ste 1520
Tulsa, OK 74137
Phone (918) 481-2767
2448 E 81st St
Ste 1300
Tulsa, OK 74137
Phone (918) 524-0080
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Oklahoma Surgical Hospital LLC | Hospital | General Partnership Interest (1.39%) | Apr 30, 2015 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1487651857
General Partnership Interest
Organizations & group practices 2
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.
-
- Orthopaedic Hand Surgery Physician
- Tulsa, OK
- NPI 1962011999
Orthopaedic Surgery
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1174581185
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1487651857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610668800000",
"number": "1720048945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2448 E 81ST ST STE 1300",
"city": "TULSA",
"state": "OK",
"postal_code": "741374305",
"telephone_number": "918-550-8950",
"fax_number": "918-550-8952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2448 E 81ST ST STE 1300",
"city": "TULSA",
"state": "OK",
"postal_code": "741374305",
"telephone_number": "918-550-8950",
"fax_number": "918-550-8952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOSSAMAN",
"first_name": "BRENT",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2021-01-15",
"certification_date": "2021-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "OK",
"license": "3041",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OK",
"license": "3041",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100195130A",
"state": "OK"
}
],
"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 Jan 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.