Active NPI
Board of Regents of the University of Oklahoma
- Procedural Dermatology Physician
- Tulsa, OK
National Provider Identifier
1992748917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- 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.
-
- Family Medicine Physician
- Tulsa, OK
- NPI 1902072960
-
- Orthopaedic Surgery Physician
- Owasso, OK
- NPI 1801163373
-
- Orthopaedic Surgery Physician
- Tulsa, OK
- NPI 1821106451
-
- Family Medicine Physician
- Sand Springs, OK
- NPI 1831133545
-
- Family Medicine Physician
- Tulsa, OK
- NPI 1831616580
-
- Pediatrics Physician
- Tulsa, OK
- NPI 1841234556
-
- Obstetrics & Gynecology Physician
- Tulsa, OK
- NPI 1891992251
-
- Pediatrics Physician
- Tulsa, OK
- NPI 1932143641
-
- Physical Medicine & Rehabilitation Physician
- Tulsa, OK
- NPI 1932268612
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1932488756
-
- Professional Counselor
- Tulsa, OK
- NPI 1972546018
-
- Family Medicine Physician
- Tulsa, OK
- NPI 1982859963
National Provider Directory
National Provider Directory- Tax ID family
- Board of Regents of the
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | |||
| Procedural Dermatology Physician | 207NS0135X | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- Philip Andrew Blystone, DPH
- Stuart Anthony Blystone, O.D.
- Tiffany Paige Blystone, L.M.F.T.
- Board Fo Regents of the University of Oklahoma Ou Physicians Tulsa
- Board of Regents of the University
- Board of Regents of the University of Oklahoma Ou Physicians Tulsa
- Board of Regents of the University of Oklahoma Ou Physicians Tulsa
- Board of Regents of the University of Oklahoma Ou Physicians Tulsa
- Board of Regents of the University of Oklahoma Ou Physicians Tulsa
- Board of Regents of the University of Oklahoma Ou Physicians Tulsa
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.