Organization Active NPI

Royce L Bargas DO LLC

  • Clinical Cardiac Electrophysiology Physician
  • Edmond, OK
National Provider Identifier
1730673906
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
4978 Issued in OK
Legal business name
ROYCE L BARGAS DO LLC
Practice address
3839 S Boulevard Ste 100
Edmond, OK 73013-5580
Phone
(405) 607-4445
NPI assigned
Jun 20, 2018
Last updated
Nov 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

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

Authorized official

Name
Royce L Bargas, DONPI 1013063635
Title
Owner
Phone
(405) 418-4800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 4978 OK Primary

Addresses

Primary practice location

3839 S Boulevard Ste 100
Edmond, OK 73013-5580

Mailing address

PO Box 3324
Oklahoma City, OK 73101-3324
Phone (405) 418-4800

Other practice location 1

609 W Memorial Rd
Oklahoma City, OK 73114-2006
Phone (405) 418-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180709002701 OK Part B Supplier - Clinic/Group Practice 0547516304 Receives reassigned benefits from 1 practitioner
Practice locations: Edmond, OK

National Provider Directory

National Provider Directory

Locations

3839 S Boulevard
Ste 100
Edmond, OK 73013
Phone (405) 471-5522

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542240000000",
    "number": "1730673906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3324",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731013324",
            "telephone_number": "405-418-4800",
            "fax_number": "405-418-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3839 S BOULEVARD STE 100",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135580",
            "telephone_number": "405-607-4445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 W Memorial Rd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731142006",
            "country_code": "US",
            "telephone_number": "405-418-5400",
            "fax_number": "405-418-5401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROYCE L BARGAS DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-11-15",
        "status": "A",
        "authorized_official_last_name": "BARGAS",
        "authorized_official_first_name": "ROYCE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-418-4800",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "OK",
            "license": "4978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.