Individual provider Active NPI

Pavan Brar, MD

  • Hospitalist Physician
  • Henryetta, OK
National Provider Identifier
1992021802
Registry record updated Feb 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
27791 Issued in OK
Practice address
2403 W Main St
Henryetta, OK 74437-3893
Phone
(918) 650-1100
Fax
(918) 650-0568
NPI assigned
Apr 16, 2010
Last updated
Feb 9, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 27791 OK Primary

Addresses

Primary practice location

2403 W Main St
Henryetta, OK 74437-3893

Mailing address

2403 W Main St
Henryetta, OK 74437-3893
Phone (918) 650-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150306001925 OK Practitioner - Family Practice 8022240092 Reassigns benefits to 4 organizations
I20220829000802 TX Practitioner - Hospitalist 8022240092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Creek Nation Hospital and ClinicsGroup PAC ID 5698786226, 364 clinicians
Usacs Observation Medicine Services of Oklahoma, LLCGroup PAC ID 9931562956, 203 clinicians

Practice addresses (Care Compare)

10109 E 79TH St
Tulsa, OK 74133-4564
Phone (918) 756-4333

12451 E 100TH St N
Owasso, OK 74055-4600
Phone (918) 274-5000

1800 E Coplin St
Okemah, OK 74859-4642
Phone (918) 623-1424

300 Rockefeller Dr
Muskogee, OK 74401-5075
Phone (918) 684-2101

31870
Suite 51
Coweta, OK 74429
Phone (918) 279-3200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc CurrentSince Mar 16, 2020 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Nov 1, 2020 Accepting new patients
Usacs Observation Medicine Services of Oklahoma, LLC CurrentSince Nov 8, 2024 Accepting new patients
St. John Physicians, Inc. Current Accepting new patients
Creek Nation Hospital & Clinics Current Accepting new patients
Creek Nation Hospital & Clinics CurrentSince May 19, 2022 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC CurrentSince Jan 6, 2023 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Nov 1, 2020 Accepting new patients
Cogent Healthcare of Texas, PA Hospitalist CurrentSince Jan 6, 2023 Accepting new patients
St John Medical Center Inc Past Accepting new patients
Creek Nation Hospital & Clinics Past Accepting new patients
Creek Nation Hospital & Clinics Past Accepting new patients
Creek Nation Hospital & Clinics Past Accepting new patients

Locations

1000 W Boise Cir
Broken Arrow, OK 74012
Phone (918) 994-8000

300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501

1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

1125 E Cleveland Ave
Sapulpa, OK 74066
Phone (918) 224-9310

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

Dept 1038
Tulsa, OK 74182

Dept 1467
Tulsa, OK 74182

Interoperability endpoints

  • Direct secure messaging: pavan.brar@direct.stjohnhealthsystem.com
  • Direct secure messaging: pbrar106938@ahs.direct-ci.com
  • Direct secure messaging: pbrar17988@muscogeecreeknation.direct-ci.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423440000000",
    "number": "1992021802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 W MAIN ST",
            "city": "HENRYETTA",
            "state": "OK",
            "postal_code": "744373893",
            "telephone_number": "918-650-1100",
            "fax_number": "918-650-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 W MAIN ST",
            "city": "HENRYETTA",
            "state": "OK",
            "postal_code": "744373893",
            "telephone_number": "918-650-1100",
            "fax_number": "918-650-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAR",
        "first_name": "PAVAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-16",
        "last_updated": "2015-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OK",
            "license": "27791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henryetta, OK

Sources for this page

Verify at the official NPI Registry.