Individual provider Active NPI

David Michael O'Brien, M.D.

  • Aerospace Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1740269646
Registry record updated Mar 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Aerospace Medicine PhysicianTaxonomy code 2083A0100X
License
18662 Issued in AZ
Practice address
6500 S. Macarthur Blvd
BLDG 13 Aam-300
Oklahoma City, OK 73169
Phone
(405) 954-8097
Fax
(757) 225-4711
NPI assigned
Jan 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 18662 AZ
Aerospace Medicine Physician 2083A0100X 18662 AZ Primary

Addresses

Primary practice location

6500 S. Macarthur Blvd
BLDG 13 Aam-300
Oklahoma City, OK 73169

Mailing address

6500 S. Macarthur Blvd
Civil Aerospace Medicine Institute, BLDG 13 Aam-300
Oklahoma City, OK 73169
Phone (405) 954-8097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18662AZMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519862400000",
    "number": "1740269646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 S. MACARTHUR BLVD",
            "address_2": "CIVIL AEROSPACE MEDICINE INSTITUTE, BLDG 13 AAM-300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73169",
            "telephone_number": "405-954-8097",
            "fax_number": "757-225-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 S. MACARTHUR BLVD",
            "address_2": "BLDG 13 AAM-300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73169",
            "telephone_number": "405-954-8097",
            "fax_number": "757-225-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2018-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "AZ",
            "license": "18662",
            "primary": false
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "AZ",
            "license": "18662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; 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.