Bruce A. Stafford, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3919 Issued in OK

Practice address

15951 Little Axe Dr
Norman, OK 73026-9088

Phone

(405) 447-0300

Fax

(405) 701-7914

NPI assigned

Dec 27, 2005

Last updated

Jul 28, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Absentee Shawnee Tribal Health Authority, Inc.

  dba Absentee Shawnee Tribal Health System - Shawnee Clinic

  • Multi-Specialty Clinic/Center
  • Shawnee, OK
  • NPI 1942253521
  Medicare reassignment
• Bruce a. Stafford, DO, PC

  • Family Medicine Physician
  • Choctaw, OK
  • NPI 1639267362
  NPD (past) Authorized official
• Cary Carpenter, M.D. P.C.

  dba Choctaw Family Medicine & Aesthetics

  • Family Medicine Physician
  • Choctaw, OK
  • NPI 1124108378
  NPD (past)
• Choctaw Wellness Enterprises, LLC

  dba Choctaw After-Hours

  • Family Medicine Physician
  • Choctaw, OK
  • NPI 1346441896
  NPD (past)
• Midwest City Hma Physician Management, LLC

  dba Sooner Medical Management

  • Obstetrics & Gynecology Physician
  • Midwest City, OK
  • NPI 1952469439

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1861479255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15951 LITTLE AXE DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730269088",
            "telephone_number": "405-447-0300",
            "fax_number": "405-701-7914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15951 LITTLE AXE DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730269088",
            "telephone_number": "405-447-0300",
            "fax_number": "405-701-7914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "BRUCE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "3919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten St. Germaine, BCBA
• Lily Irene Staadt
• Stacia M. Dowell DDS, PLLC (Aesthetic & Restorative Dentistry of Norman)
• Carolyn R Stacy, ARNP
• Tadgy D Stacy, M.D.
• Katlyn Alexis Stafford
• Marshall J Stafford
• Mary Ceretta Stafford, LADC
• Jade Staggs, PTA
• Hannah Louise Stahmer

• Family Medicine Physician in Norman, OK
• Providers in Norman, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.

Verify at the official NPI Registry.