Active NPI
Shelba J Bethel, MD
- Obstetrics & Gynecology Physician
- Norman, OK
National Provider Identifier
1780625756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 8481
- Practice address
- 1139 36TH Ave NW
Norman, OK 73072-4103 - Phone
- (405) 364-0643
- Fax
- (405) 364-0502
- NPI assigned
- Jun 9, 2006
- Last updated
- Oct 18, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 8481 | OK | Primary |
Addresses
Primary practice location
1139 36TH Ave NW
Norman, OK 73072-4103
Mailing address
1139 36TH Ave NW
Norman, OK 73072-4103
Phone (405) 364-0643
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 730791013001 | Other | OK | BLUECROSS BLUESHEILD |
| 100092930B | Other | OK | SOONERCARE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Lesa J Bethel Mulligan MD PC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
dba Shelba J. Bethel M.D., Inc
- Specialist
- Norman, OK
- NPI 1265566905
-
- Specialist
- Norman, OK
- NPI 1447384540
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- Medical Specialty Clinic/Center
- Norman, OK
- NPI 1669506507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792281600000",
"number": "1780625756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1139 36TH AVE NW",
"city": "NORMAN",
"state": "OK",
"postal_code": "730724103",
"telephone_number": "405-364-0643",
"fax_number": "405-364-0502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1139 36TH AVE NW",
"city": "NORMAN",
"state": "OK",
"postal_code": "730724103",
"telephone_number": "405-364-0643",
"fax_number": "405-364-0502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETHEL",
"first_name": "SHELBA",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-09",
"last_updated": "2026-10-18",
"certification_date": "2023-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OK",
"license": "8481",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHEILD",
"identifier": "730791013001",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOONERCARE",
"identifier": "100092930B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.