NPIMap

Individual provider Active NPI

Brian Paul Freeland, PA-C

  • Surgical Physician Assistant
  • Ada, OK
National Provider Identifier
1760540413
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
1100 Issued in OK
Practice address
919 Colony Dr
Ada, OK 74820-2329
Phone
(580) 235-0299
Fax
(580) 235-0297
NPI assigned
Dec 5, 2006
Last updated
Aug 27, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Surgical Physician Assistant 363AS0400X 1100 OK Primary

Addresses

Primary practice location

919 Colony Dr
Ada, OK 74820-2329

Mailing address

919 Colony Dr
Ada, OK 74820-2329
Phone (580) 235-0299

Other practice location 1

3101 Arlington
Suite B
Ada, OK 74820-3085
Phone (580) 332-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051223000107 OK Practitioner - Physician Assistant 4385666981 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curry Orthopedics and Sports Medicine PLLCGroup PAC ID 4981020328, 5 clinicians

Practice addresses (Care Compare)

919 Colony Dr
Ada, OK 74820-2329
Phone (580) 235-0299

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
812OKMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Coal County General Hospital CurrentSince Sep 10, 2012 Accepting new patients
Coal County General Hospital CurrentSince Sep 10, 2012 Accepting new patients
Holdenville Hospital Authority CurrentSince Jul 1, 2014 Accepting new patients
Holdenville Hospital Authority CurrentSince Jul 1, 2014 Accepting new patients
Britton Vision Associates Inc Past Accepting new patients
Atoka County Healthcare Authority Past Accepting new patients
Mercy Hospital Ada, Inc Past Accepting new patients

Locations

6 N Covington St
Coalgate, OK 74538
Phone (580) 927-2327

100 McDougal Dr
Holdenville, OK 74848
Phone (405) 379-4200

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1760540413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 COLONY DR",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748202329",
            "telephone_number": "580-235-0299",
            "fax_number": "580-235-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 COLONY DR",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748202329",
            "telephone_number": "580-235-0299",
            "fax_number": "580-235-0297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3101 Arlington",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Ada",
            "state": "OK",
            "postal_code": "748203085",
            "country_code": "US",
            "telephone_number": "580-332-9100",
            "fax_number": "580-332-8554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREELAND",
        "first_name": "BRIAN",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OK",
            "license": "1100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, OK

Sources for this page

Verify at the official NPI Registry.