Tulsa Plastic Surgery

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

OK18447 Issued in OK

Legal business name

TULSA PLASTIC SURGERY

Doing business as

Whitlock Cosmetic and Reconstructive Surgery

Practice address

3319 E 46TH St
Tulsa, OK 74135

Phone

(918) 743-5438

Fax

(918) 746-0664

NPI assigned

Jul 22, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bryan Richard Whitlock, MDNPI 1437189933

Title

Owner

Phone

(918) 743-5438

Specialties & licenses 1

Addresses

Other names 1

• Whitlock Cosmetic and Reconstructive Surgery Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bryan Richard Whitlock, MD

  • Plastic Surgery Physician
  • Tulsa, OK
  • NPI 1437189933
  Authorized official Same address or phone

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922029297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 E 46TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74135",
            "telephone_number": "918-743-5438",
            "fax_number": "918-746-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3319 E 46TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74135",
            "telephone_number": "918-743-5438",
            "fax_number": "918-746-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULSA PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITLOCK",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-743-5438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OK",
            "license": "OK18447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whitlock Cosmetic and Reconstructive Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Plastic Surgery Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Plastic Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.