Philip C Bryan MD PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

9273 Issued in OK

Legal business name

PHILIP C BRYAN MD PLLC

Practice address

1000 N Lee Ave
Oklahoma City, OK 73102-1036

Phone

(405) 272-4200

Fax

(405) 272-4203

NPI assigned

Aug 30, 2013

Organization subpart

No

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

Authorized official

Name

Philip C Bryan, MDNPI 1104828359

Title

Owner

Phone

(405) 919-4924

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Philip Clay Bryan, MD

  • Surgery Physician
  • Oklahoma City, OK
  • NPI 1104828359
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1770917353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 TOWER DR",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731606181",
            "telephone_number": "405-310-0836",
            "fax_number": "405-758-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N LEE AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021036",
            "telephone_number": "405-272-4200",
            "fax_number": "405-272-4203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 S 5th St",
            "address_purpose": "LOCATION",
            "city": "Enid",
            "state": "OK",
            "postal_code": "737015832",
            "country_code": "US",
            "telephone_number": "580-548-5010",
            "fax_number": "580-548-2346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHILIP C BRYAN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-30",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-919-4924",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OK",
            "license": "9273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200509640A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Donella Phelps, APRN, FNP-BC
• Ruby E Phifer
• Nicolas Moore Philbrick
• Philip a. Floyd, M.D.,P.C.
• Philip B Miner Jr MD Inc
• Philip C. Hyde, PH.D., P.C.
• Philip G. Maguire D.D.S. PLLC
• Benitta John Philip, DNP
• Christina Philip
• Neena Susan Philip, MD

• Surgery Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.