Active NPI
Pavan Brar, MD
- Hospitalist Physician
- Henryetta, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 27791
- 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, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. John Physicians, Inc | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Usacs Observation Medicine Services of Oklahoma, LLC | Current | Accepting new patients | |
| St. John Physicians, Inc. | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Texas, PLLC | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Cogent Healthcare of Texas, PA | Hospitalist | Current | 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
- pavan.brar@direct.stjohnhealthsystem.com
- pbrar106938@ahs.direct-ci.com
- 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.
-
dba Creek Nation Community Hospital
- Family Medicine Physician
- Okemah, OK
- NPI 1467053173
TX
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1326739111
-
dba Creek Nation Health System
- Clinic/Center
- Muskogee, OK
- NPI 1366593923
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1336194406
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
OK
-
dba Muscogee (Creek) Nation Orthopedic Clinic - NI
- Clinic/Center
- Okmulgee, OK
- NPI 1326446188
-
dba Muscogee Healing and Recovery Center
- Clinic/Center
- Muskogee, OK
- NPI 1922873611
-
dba Siggins Memorial Clinic
- Rural Health Clinic/Center
- Barnsdall, OK
- NPI 1033176367
-
dba Muscogee (Creek) Nation Medical Center -NI
- General Acute Care Hospital
- Okmulgee, OK
- NPI 1407243777
-
dba Muscogee (Creek) Nation Long Term Acute Care Hospital Non-Indian
- Long Term Care Hospital
- Tulsa, OK
- NPI 1801205422
-
dba Muscogee (Creek) Nation Medical Center - Native
- General Acute Care Hospital
- Okmulgee, OK
- NPI 1861889123
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Muscogee (Creek) Nation Long Term Acute Care Hospital
- Long Term Care Hospital
- Okmulgee, OK
- NPI 1376979955
-
dba Muscogee (Creek) Nation Medical Center
- General Acute Care Hospital
- Okmulgee, OK
- NPI 1902236573
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
- Quennie Sue Bessinger, LPC UNDER SUP
- Bio Medical Applications of Oklahoma Inc (FMC Henryetta)
- Bio-Medical Applications of Oklahoma, Inc. (Fresenius Medical Care Henryetta)
- Hayden Dean Black, OD
- Bono Nursing Home Inc
- Michael L Brian, OD
- Brenda Druecilla Britt
- Russell Kyle Brown, DO
- Michael Terence Cain, D.O.
- Katelyn Cheyanne Carpenter
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.