Organization Active NPI

Jerry Brad Jarrell MD PLLC

  • Internal Medicine Physician
  • Bartlesville, OK
National Provider Identifier
1922530815
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JERRY BRAD JARRELL MD PLLC
Practice address
2916 Montrose Dr
Bartlesville, OK 74006-5800
Phone
(918) 214-7744
NPI assigned
Mar 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Authorized official

Name
Dr. Jerry Brad Jarrell, MD
Title
Owner
Phone
(918) 214-7744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2916 Montrose Dr
Bartlesville, OK 74006-5800

Mailing address

2916 Montrose Dr
Bartlesville, OK 74006-5800

National Provider Directory

National Provider Directory

Locations

3434 Kentucky Pl
Bartlesville, OK 74006
Phone (918) 333-9000

NPI Registry JSON

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1922530815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 MONTROSE DR",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740065800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2916 MONTROSE DR",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740065800",
            "telephone_number": "918-214-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY BRAD JARRELL MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-30",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "JARRELL",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "BRAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-214-7744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.