Organization Active NPI

Board of Regents of the University of Oklahoma

  • Procedural Dermatology Physician
  • Tulsa, OK
National Provider Identifier
1992748917
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
Legal business name
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA
Practice address
1705 E 19TH St
Suite 502 Ou Physicians Tulsa Dermatology Clinic
Tulsa, OK 74104-5405
Phone
(918) 743-6675
NPI assigned
Jun 14, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Brain L Maddy
Title
Ceo Ou Physicians
Phone
(405) 271-3932

Corporate family (same tax ID) 12

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

National Provider Directory
Tax ID family
Board of Regents of the (53 organizations share this tax ID)

Locations

4502 E 41st St
Ofc
Tulsa, OK 74135
Phone (918) 660-3505

1705 E 19th St
Ste 502
Tulsa, OK 74104
Phone (918) 743-6675

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X
Procedural Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207NS0135X Primary

Addresses

NPPES NPI Registry

Primary practice location

1705 E 19TH St
Suite 502 Ou Physicians Tulsa Dermatology Clinic
Tulsa, OK 74104-5405

Mailing address

4502 E 41St St 2Go8
Ou Physicians Tulsa - Office Clinical Services
Tulsa, OK 74134-2553
Phone (918) 660-3632

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2025.

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1992748917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 E 41ST ST 2GO8",
            "address_2": "OU PHYSICIANS TULSA - OFFICE CLINICAL SERVICES",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741342553",
            "telephone_number": "918-660-3632",
            "fax_number": "918-660-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 E 19TH ST",
            "address_2": "SUITE 502 OU PHYSICIANS TULSA DERMATOLOGY CLINIC",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045405",
            "telephone_number": "918-743-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MADDY",
        "authorized_official_first_name": "BRAIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO OU PHYSICIANS",
        "authorized_official_telephone_number": "405-271-3932",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.