Individual provider Active NPI

Bryan Christopher Roehl, D.O.

  • Obstetrics & Gynecology Physician
  • Tulsa, OK
National Provider Identifier
1720248164
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4434 Issued in OK
Practice address
6465 S Yale Ave Ste 605
Tulsa, OK 74136-7808
Phone
(918) 502-4040
Fax
(918) 502-4045
NPI assigned
Jun 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4434 OK Primary

Addresses

Primary practice location

6465 S Yale Ave Ste 605
Tulsa, OK 74136-7808

Mailing address

6600 S Yale Ave Ste 1400
Tulsa, OK 74136-3331
Phone (888) 247-0125

Other practice location 1

6465 S Yale Ave Ste 615
Tulsa, OK 74136-7808
Phone (918) 502-4600

Other identifiers 1

IdentifierTypeStateIssuer
200182920AMedicaidOK

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
I20101008000886 OK Practitioner - Obstetrics/Gynecology 5294927208 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Oklahoma State University College of Osteopathic Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oklahoma State UniversityGroup PAC ID 2769739358, 110 clinicians
Warren Clinic IncGroup PAC ID 8820900293, 787 clinicians

Practice addresses (Care Compare)

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

6161 S Yale Ave
Tulsa, OK 74136-1902
Phone (918) 502-4720

6600 S Yale Ave
Suite 1400
Tulsa, OK 74136-3331
Phone (918) 488-6000

Hospital & facility affiliations

  • Saint Francis Hospital, Inc Hospital, Tulsa, OK, CCN 370091
  • Saint Francis Hospital South, LLC Hospital, Tulsa, OK, CCN 370218

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Clinic Inc CurrentSince Dec 1, 2021 Accepting new patients
Oklahoma State University Obstetrics & Gynecology CurrentSince Apr 1, 2025 Accepting new patients
Oklahoma State University Current Accepting new patients
Oklahoma State University CurrentSince Apr 1, 2025 Accepting new patients
Mercy Hospital Oklahoma City, Inc PastSince Dec 22, 2013 Accepting new patients
Saint Francis Hospital, Inc. Past Accepting new patients

Locations

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

Dept 2563
Tulsa, OK 74182

6465 S Yale Ave
Ste 615
Tulsa, OK 74136
Phone (918) 494-8181

717 S Houston Ave
Ste 200
Tulsa, OK 74127
Phone (918) 586-4500

6465 S Yale Ave
Ste 605
Tulsa, OK 74136
Phone (918) 502-4040

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

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

6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045

Interoperability endpoints

  • Direct secure messaging: broehl422527@directc.mercy.net
  • Direct secure messaging: broehl257018@direct.saintfrancis.com

Organizations & group practices 7

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 3

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": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1720248164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 S YALE AVE STE 1400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363331",
            "telephone_number": "888-247-0125",
            "fax_number": "918-502-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6465 S YALE AVE STE 605",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741367808",
            "telephone_number": "918-502-4040",
            "fax_number": "918-502-4045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6465 S Yale Ave Ste 615",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741367808",
            "country_code": "US",
            "telephone_number": "918-502-4600",
            "fax_number": "918-502-4605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROEHL",
        "first_name": "BRYAN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "4434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200182920A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.