Active NPI
Stephen Joseph Brasseux, M.D.
- Psychiatry Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- E-6485
- Practice address
- 5310 E 31St St FL LL
Tulsa, OK 74135-5018 - Phone
- (918) 236-4000
- Fax
- (918) 236-4001
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | E-6485 | AR | Primary |
Addresses
Primary practice location
5310 E 31St St FL LL
Tulsa, OK 74135-5018
Mailing address
5310 E 31St St FL 13
Tulsa, OK 74135-5018
Phone (918) 561-5701
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200788050A | Medicaid | OK | |
| 704532 | Other | OK | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28995 | SC | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oklahoma State University | Current | Accepting new patients | |
| Oklahoma State University | Psychiatry | Current | Accepting new patients |
Locations
042 Murray
Stillwater, OK 74078
Phone (405) 744-6021
5310 E 31st St
Ste 13
Tulsa, OK 74135
Phone (918) 561-5701
2401 Southwest Blvd
Tulsa, OK 74107
2323 S Harvard Ave
Tulsa, OK 74114
Phone (918) 293-2140
2448 E 81st St
Ste 2000
Tulsa, OK 74137
Phone (918) 236-4000
Dept 2563
Tulsa, OK 74182
2345 Southwest Blvd
Tulsa, OK 74107
Phone (918) 582-1980
5310 E 31st St
Ste Ll
Tulsa, OK 74135
Phone (918) 236-4000
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba OSU Speech-Language-Hearing Clinic
- Speech-Language Pathologist
- Stillwater, OK
- NPI 1700994878
-
dba OSU Physicians
- Medical Specialty Clinic/Center
- Tulsa, OK
- NPI 1306882261
Psychiatry
-
dba OSU Physicians Clinical Laboratory
- Clinical Medical Laboratory
- Tulsa, OK
- NPI 1326495433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620777600000",
"number": "1790867687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5310 E 31ST ST FL 13",
"city": "TULSA",
"state": "OK",
"postal_code": "741355018",
"telephone_number": "918-561-5701",
"fax_number": "918-561-1173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5310 E 31ST ST FL LL",
"city": "TULSA",
"state": "OK",
"postal_code": "741355018",
"telephone_number": "918-236-4000",
"fax_number": "918-236-4001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRASSEUX",
"first_name": "STEPHEN",
"middle_name": "JOSEPH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2021-05-12",
"certification_date": "2021-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AR",
"license": "E-6485",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200788050A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "704532",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.