Active NPI
Bruce a Mackey MD PC
- Pain Medicine Physician
- Edmond, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 16205
- Legal business name
- BRUCE A MACKEY MD PC
- Practice address
- 3957 E Covell Rd
Edmond, OK 73034-6909 - Phone
- (405) 285-7246
- Fax
- (405) 285-7546
- NPI assigned
- Jun 14, 2007
- Last updated
- Sep 19, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bruce A Mackey, MD
- Title
- President
- Phone
- (405) 285-7246
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | 16205 | OK | Primary |
Addresses
Primary practice location
3957 E Covell Rd
Edmond, OK 73034-6909
Mailing address
3957 E Covell Rd
Edmond, OK 73034-6909
Phone (405) 285-7246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2036264 | Bruce a Mackey, MD PC | Accreditation | Sep 30, 2026 |
| 37D2317417 | Bruce a Mackey MD PC | Certificate of waiver | Jan 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
3957 E Covell Rd
Edmond, OK 73034
Phone (405) 285-7246
841 S Kelly Ave
Ste 110
Edmond, OK 73003
Phone (405) 285-7246
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Pain Medicine Physician
- Edmond, OK
- NPI 1891799821
-
- Family Medicine Physician
- Edmond, OK
- NPI 1790926814
-
- Pain Medicine Physician
- Edmond, OK
- NPI 1861460198
-
- Medical Physician Assistant
- Edmond, OK
- NPI 1689776247
-
- Pain Medicine (Anesthesiology) Physician
- Oklahoma City, OK
- NPI 1497169213
-
- Family Nurse Practitioner
- Spencer, OK
- NPI 1649826033
-
- Diagnostic Radiology Physician
- Reston, VA
- NPI 1588616783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1379548800000",
"number": "1770787418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3957 E COVELL RD",
"city": "EDMOND",
"state": "OK",
"postal_code": "730346909",
"telephone_number": "405-285-7246",
"fax_number": "405-285-7546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3957 E COVELL RD",
"city": "EDMOND",
"state": "OK",
"postal_code": "730346909",
"telephone_number": "405-285-7246",
"fax_number": "405-285-7546"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRUCE A MACKEY MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-14",
"last_updated": "2013-09-19",
"status": "A",
"authorized_official_last_name": "MACKEY",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "405-285-7246",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "OK",
"license": "16205",
"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 Sep 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.