Organization Active NPI

G Bolar Garrison MD Inc

  • Anesthesiology Physician
  • Okla City, OK
National Provider Identifier
1972689149
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
7000 Issued in OK
Legal business name
G BOLAR GARRISON MD INC
Practice address
3617 NW 65 St
Okla City, OK 73116-2005
Phone
(405) 842-3402
Fax
(405) 879-9879
NPI assigned
Oct 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
G Bolar Garrison, MD
Title
Pres
Phone
(405) 842-3402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 7000 OK Primary

Addresses

Primary practice location

3617 NW 65 St
Okla City, OK 73116-2005

Mailing address

3617 NW 65 St
Okla City, OK 73116-2005
Phone (405) 842-3402

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972689149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 NW 65 ST",
            "city": "OKLA CITY",
            "state": "OK",
            "postal_code": "731162005",
            "telephone_number": "405-842-3402",
            "fax_number": "405-879-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3617 NW 65 ST",
            "city": "OKLA CITY",
            "state": "OK",
            "postal_code": "731162005",
            "telephone_number": "405-842-3402",
            "fax_number": "405-879-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G BOLAR GARRISON MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "G",
        "authorized_official_middle_name": "BOLAR",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "405-842-3402",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "7000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okla City, OK

Sources for this page

  • 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.