Bryan Christopher Bumpas

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

OK5367 Issued in OK

Practice address

1200 NW 192ND St
Edmond, OK 73012-4031

Phone

(405) 282-6444

Fax

(405) 282-6457

NPI assigned

May 2, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Bryan Christopher Bumpas Professional name

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Bryan C Bumpas DDS PC

  • General Practice Dentistry
  • Guthrie, OK
  • NPI 1265539779
  NPD (past) Authorized official

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1861668592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 NW 192ND ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730124031",
            "telephone_number": "405-282-6444",
            "fax_number": "405-282-6457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 NW 192ND ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730124031",
            "telephone_number": "405-282-6444",
            "fax_number": "405-282-6457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUMPAS",
        "first_name": "BRYAN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-02",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "OK5367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRYAN",
            "last_name": "BUMPAS",
            "middle_name": "CHRISTOPHER",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Azra Buksh, ED.D LPC
• Heather Patricia Bullock, PA-C
• Elizabeth Walt Bulmer, LCSW
• Joshua E Bumgarner, RBT
• Marissa A Bumgarner, RBT
• Ashlyn Bundy
• Carly Burchett, LPC
• Emilee Raelynn Burdge, AAT
• Kiearra Burdine
• Schyler Burk, PHARMD

• General Practice Dentistry in Edmond, OK
• Providers in Edmond, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.