BJT MD PLLC (NPI# 1992960231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992960231 |
| Entity Type | Organization |
| Organization Name | BJT MD PLLC |
| Other Organization Name | BRYAN J TREACY, MD LLC |
| Practice Address |
1035 Sw 19th St Suite B Moore OK 73160-2883 |
| Mailing Address |
Po Box 6847 Moore OK 73153-0847 |
| Practice Telephone | 4057939171 |
| Practice Fax Number | 4057930815 |
| Mailing Telephone | 4057939171 |
| Mailing Fax Number | 4057930815 |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2012-04-24 |
| Authorized Official Name | DR. BRYAN J TREACY (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 4057939171 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 23781 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200263670A | 05 |
| Other Name | Type Code |
|---|---|
| Bryan J Treacy, MD LLC | Doing Business As Name - Organization |
| Street Address |
1035 SW 19TH ST SUITE B |
| City | MOORE |
| State | OK |
| Zip Code | 73160-2883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356339360 | Bryan Treacy | Obstetrics & Gynecology | 1035 Sw 19th St, Suite B, Moore, OK 73160-2883 | 2005-10-12 |
| 1609800770 | James (jamie) D Burroughs | Chiropractor | 1035 Sw 19th St, Suite B, Moore, OK 73160-2883 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678576 | Crystal Amanda Pitts | Student in an Organized Health Care Education/Training Program | 628 Allison Ln, Moore, OK 73160 | 2020-01-14 |
| 1982247623 | Tammie Lee Haworth | Occupational Therapy Assistant | Quest, 400 N Eastern Ave, Moore, OK 73160 | 2019-10-25 |
| 1477102580 | Php Management Group, LLC | Non-Pharmacy Dispensing Site | 1110 Magnolia Court, Moore, OK 73160 | 2019-09-11 |
| 1477117893 | Pharmology Moore LLC | Pharmacy | 1280 N Eastern Ave, Suite F, Moore, OK 73160 | 2019-05-01 |
| 1154891943 | Leah Cordell | Nurse Practitioner | 1280 North Eastern Ave., Suite F, Moore, OK 73160 | 2018-12-05 |
| 1467962332 | Healthcare Express, LLP | Clinic/Center | 551 Se 4th Street, Moore, OK 73160 | 2017-10-05 |
| 1306379557 | Dicarlo Venegas | Behavior Technician | 716 Wood Hollow Ln, Moore, OK 73160 | 2017-04-05 |
| 1073050167 | Tyron Dorrell Cosby Sr. | Case Manager/Care Coordinator | 1416 Penn Ln., Moore, OK 73160 | 2017-01-26 |
| 1326592650 | Kristin Kelley | Counselor | 1113 S Avery Dr, Moore, OK 73160 | 2016-08-03 |
| 1376912600 | Allison Kay Griffiths | Counselor | 9501 S. I-35 Service Rd, Apt 1504, Moore, OK 73160 | 2015-09-16 |
| Find all providers in zip 73160 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548245129 | Kimberly Jean Fletcher | Obstetrics & Gynecology | 2900 S Telephone Rd Ste 200, Moore, OK 73160-2971 | 2005-12-07 |
| 1639372899 | Andrea Janae Miller | Obstetrics & Gynecology | 2900 S Telephone Rd Ste 200, Moore, OK 73160-2971 | 2007-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144836206 | Saints Medical Group, LLC | Obstetrics & Gynecology | 5604 Se 67th St, Oklahoma City, OK 73135-1719 | 2020-09-23 |
| 1780201467 | Wesley Vaughan Md, Pllc | Obstetrics & Gynecology | 13921 N Meridian Ave Ste 200, Oklahoma City, OK 73134-1104 | 2020-06-29 |
| 1275016305 | Breathe Birth & Wellness, LLC | Obstetrics & Gynecology | 4800 W San Antonio St Ste 101, Broken Arrow, OK 74012-6127 | 2018-09-14 |
| 1902387475 | William Patrick Gideon | Obstetrics & Gynecology | 4617 Summerfield Ct, Norman, OK 73072-3934 | 2018-08-23 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1003307935 | Mary Katlin Nixon | Obstetrics & Gynecology | 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 | 2018-05-26 |
| 1619470184 | Linzi L Stewart, D.o., P.l.l.c. | Obstetrics & Gynecology | 10400 S Western Ave Ste 7, Oklahoma City, OK 73139 | 2018-03-12 |
| 1134649536 | Rupert R Thomas Md PC | Obstetrics & Gynecology | 1800 Renaissance Blvd Ste 210, Edmond, OK 73013-3023 | 2017-06-27 |
| 1568917037 | Chris A Lane Do Inc PC | Obstetrics & Gynecology | 4505 Blackberry Run, Oklahoma City, OK 73112-6157 | 2016-08-24 |
| 1881041879 | Paige Percer | Obstetrics & Gynecology | Rr 1 Box 835, Boswell, OK 74727-9726 | 2016-05-19 |
| 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.