Individual provider Active NPI

Bridget Diane Bryan, D.O.

  • Pediatrics Physician
  • Chickasha, OK
National Provider Identifier
1982925913
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
5036 Issued in OK
Practice address
2100 W Iowa Ave
Suite a
Chickasha, OK 73018-2736
Phone
(405) 224-2100
Fax
(405) 779-2365
NPI assigned
Jun 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 5036 OK Primary

Addresses

Primary practice location

2100 W Iowa Ave
Suite a
Chickasha, OK 73018-2736

Mailing address

2100 W Iowa Ave
Suite a
Chickasha, OK 73018-2736
Phone (405) 224-2100

Other identifiers 1

IdentifierTypeStateIssuer
200397150AMedicaidOK

Other names 1

  • Dr. Bridget Diane Flauding Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130626000366 OK Practitioner - Pediatric Medicine 4082853882 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Grady Memorial Hospital CurrentSince Jul 1, 2013 Accepting new patients
Grady Memorial Hospital CurrentSince Jul 1, 2013 Accepting new patients
Grady Memorial Hospital Current Accepting new patients
Grady Memorial Hospital Current Accepting new patients
Grady Memorial Hospital CurrentSince Jun 1, 2015 Accepting new patients

Locations

2100 W Iowa Ave
Ste A
Chickasha, OK 73018
Phone (405) 224-2100

2100 W Iowa Ave
Chickasha, OK 73018
Phone (405) 224-2100

Interoperability endpoints

  • Direct secure messaging: bbryan@direct.gradymem.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1982925913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 W IOWA AVE",
            "address_2": "SUITE A",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182736",
            "telephone_number": "405-224-2100",
            "fax_number": "405-779-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W IOWA AVE",
            "address_2": "SUITE A",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182736",
            "telephone_number": "405-224-2100",
            "fax_number": "405-779-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "BRIDGET",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-14",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "5036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200397150A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIDGET",
            "last_name": "FLAUDING",
            "middle_name": "DIANE",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chickasha, OK

Sources for this page

Verify at the official NPI Registry.