PHILIP C BRYAN MD PLLC (NPI# 1770917353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770917353 |
| Entity Type | Organization |
| Organization Name | PHILIP C BRYAN MD PLLC |
| Practice Address |
2204 Rambling Rd Edmond OK 73025-2310 |
| Practice Telephone | 4059194924 |
| Practice Fax Number | 4053402346 |
| Mailing Telephone | 4059194924 |
| Mailing Fax Number | 4053402346 |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2014-01-02 |
| Authorized Official Name | PHILIP C BRYAN (OWNER) |
| Authorized Official Telephone | 4059194924 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 9273 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 505101907 | 05 |
| Street Address |
2204 RAMBLING RD |
| City | EDMOND |
| State | OK |
| Zip Code | 73025-2310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104828359 | Philip Clay Bryan | Specialist | 2204 Rambling Rd, Edmond, OK 73003-2310 | 2005-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285252304 | Max Anna Hanna | Counselor | 2600 W. Coffee Creek Rd, Edmond, OK 73025 | 2020-07-07 |
| 1023403375 | Regina Kwendi | Counselor | 23802 Tuscany Plaza, Edmond, OK 73025 | 2015-04-03 |
| 1396165791 | Calandra Antonelli | Case Manager/Care Coordinator | 905 Baffy Court, Edmond, OK 73025 | 2014-04-24 |
| 1982732400 | Kim Mclanahan | Radiology | 5105 Circle Glen, Edmomd, OK 73025 | 2007-02-28 |
| 1922030758 | Leann Leach | Social Worker | 2660 Bobwhite Trail, Edmond, OK 73025 | 2006-07-06 |
| 1023012895 | Paul E Massad | Radiology | 5705 Country Club Ter, Edmond, OK 73025 | 2005-06-09 |
| 1760692594 | Angela Marie Danel | Occupational Therapist | 4150 W Evergreen Dr, Edmond, OK 73025-1112 | 2007-05-23 |
| 1891064572 | Oklahoma Therapy Services LLC | Occupational Therapist | 4150 W Evergreen Dr, Edmond, OK 73025-1112 | 2011-12-24 |
| 1477951499 | Rani Mcguar | Physical Therapist | 10930 Gracie Dr, Edmond, OK 73025-1165 | 2014-12-08 |
| 1104195650 | Clifton Forest Cypert | Counselor | 4575 Vista Valley Ln, Edmond, OK 73025-1189 | 2011-12-28 |
| Find all providers in zip 73025 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396072344 | Big Blue Star LLC | Surgery | 1800 Renaissance Blvd Ste 200, Edmond, OK 73013-3023 | 2009-11-12 |
| 1902946486 | Aimee Levy | Surgery | 4833 Integris Pkwy Ste 350, Edmond, OK 73034 | 2007-02-07 |
| 1295726719 | Joshua P Carey | Surgery | 4833 Integris Pkwy, Suite 350, Edmond, OK 73034 | 2005-11-03 |
| 1770587636 | Toby D Broussard | Surgery | 1800 Renaissance Blvd, 2nd Floor, Edmond, OK 73013-3023 | 2005-06-09 |
| 1861494015 | Charles M Gelnar | Surgery | 105 S Bryant Ave, #104, Edmond, OK 73034-6330 | 2005-06-01 |
| 1992841811 | General Surgery Group, Pllc | Surgery | 1800 Renaissance Blvd, 2nd Floor, Edmond, OK 73013-3023 | 2007-01-29 |
| 1689729907 | Transforming Lives Pllc | Surgery | 1800 Renaissance Blvd, Second Floor, Edmond, OK 73013-3023 | 2007-01-25 |
| 1205856820 | Stephen W Mihalsky | Surgery | 105 S Bryant Ave, Suite 407, Edmond, OK 73034-6399 | 2006-07-19 |
| 1750316949 | Gregory F Walton | Surgery | 1800 Renaissance Blvd, 2nd Floor, Edmond, OK 73013-3023 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702127 | Advanced Surgical Assisting, LLC | Surgery | 4012 E 108th St, Tulsa, OK 74137-6707 | 2020-05-20 |
| 1639642655 | Okc Surgicalists Pllc | Surgery | 4140 W Memorial Rd Ste 408, Oklahoma City, OK 73120-8300 | 2019-01-03 |
| 1376016329 | Oklahoma Acute Care Surgical Specialists LLC | Surgery | 4016 E 27th St, Tulsa, OK 74114-5908 | 2019-01-02 |
| 1265907885 | Apex Surgery Center, LLC | Surgery | 2001 Cradduck Road, Ada, OK 74820 | 2018-10-10 |
| 1588107957 | Elias Cardiovascular Disease Pllc | Surgery | 1104 E State Highway 152 Unit 2, Mustang, OK 73064-5116 | 2016-12-02 |
| 1831540608 | Eric Waetjen | Surgery | 4502 E 51st St, 2g06, Tulsa, OK 74135-3702 | 2016-06-23 |
| 1811381247 | Mohamad Sidani | Surgery | 800 Stanton L Young Blvd # 9432, Oklahoma City, OK 73104-5018 | 2015-03-24 |
| 1336554880 | Alex Jones | Surgery | 500 E Robinson St Ste 1300, Norman, OK 73071-6694 | 2014-06-24 |
| 1396159596 | Paul Mcgaha II | Surgery | 10920 Sw 30th Ter, Yukon, OK 73099-0435 | 2014-06-16 |
| 1154747053 | Haley Adams | Surgery | 115 W 13th St, Grove, OK 74344-3224 | 2014-03-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.