Brian C Diener (NPI# 1699717322, PAC ID# 8325011901) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1699717322 |
| PAC ID by PECOS | 8325011901 |
| Professional Enrollment ID | I20040813000215 |
| Full Name | Brian C Diener |
| Organization Legal Name | STATE OF OKLAHOMA |
| Address |
2345 Southwest Blvd Tulsa OK 74107-2705 |
| Phone Number | 9185821980 |
| Gender | M |
| Credential | DO |
| Medical School | OKLAHOMA COLLEGE OF OSTEOPATHIC MEDICINE AND SURGERY |
| Graduation Year | 2001 |
| Primary Specialty | GENERAL SURGERY |
| Secondary Specialties | VASCULAR SURGERY |
| Group Practice PAC ID | 4486558962 |
| Number of Group Practice Members | 103 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370078 | OKLAHOMA STATE UNIVERSITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2345 Southwest Blvd, Tulsa, OK 74107-2705 | 9185821980 | STATE OF OKLAHOMA |
| Organization Legal Name | STATE OF OKLAHOMA |
| Physicians | 120 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heena N Patel | Psychiatry | State of Oklahoma | 900 E Main St, Griffin Memorial Hospital, Norman, OK 73071-5305 |
| Jennifer N Pettijohn | Clinical Social Worker | State of Oklahoma | 602 Sw, 38th Jim Taliaferro Cmhc, Lawton, OK 73505-6912 |
| Leslie Jeffries | Nurse Practitioner | State of Oklahoma | 1101 E Monroe Ave, Carl Albert Mental Health, Mcalester, OK 74501-4826 |
| Kevin Johnson | Psychiatry | State of Oklahoma | 2323 S Harvard Ave, Tcbh, Tulsa, OK 74114-3301 |
| Laurie C Clark | Family Medicine | State of Oklahoma | 14002 E 21st St, Suite 1130, Tulsa, OK 74134-1408 |
| Gloria Martz | Psychiatry | State of Oklahoma | 909 Alameda St, Norman, OK 73071-5229 |
| Roselyn M Bramwell | Clinical Social Worker | State of Oklahoma | 702 N Grand, Ncbh, Enid, OK 73701-3221 |
| Darrel E Schreiner | Psychiatry | State of Oklahoma | 602 Sw 38th St, Jtcmhc, Lawton, OK 73505-6912 |
| Sridevi Nagumalli | Psychiatry | State of Oklahoma | I Mile E Hwy 270, Western State Psychiatric, Fort Supply, OK 73841 |
| Madhuri J Lad | Internal Medicine | State of Oklahoma | 717 S Houston Ave, Suite 200, Tulsa, OK 74127-9005 |
| Street Address |
2345 SOUTHWEST BLVD |
| City | TULSA |
| State | OK |
| Zip | 74107-2705 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David L Mcelwain | Psychiatry | State of Oklahoma | 2345 Southwest Blvd, Tulsa, OK 74107-2705 |
| Ashley E Walker | Psychiatry | State of Oklahoma | 2345 Southwest Blvd, Tulsa, OK 74107-2705 |
| Jay K Johnson | Neurology | State of Oklahoma | 2345 Southwest Blvd, Tulsa, OK 74107-2705 |
| Paul G Rock | Internal Medicine | State of Oklahoma | 2345 Southwest Blvd, Tulsa, OK 74107-2705 |
| Damon L Baker | Internal Medicine | State of Oklahoma | 2345 Southwest Blvd, Tulsa, OK 74107-2705 |
| Lana D Myers | Family Medicine | State of Oklahoma | 2345 Southwest Blvd, Tulsa, OK 74107-2705 |
| Amanda Carey | Family Medicine | State of Oklahoma | 2345 Southwest Blvd, Tulsa, OK 74107-2705 |
| Stacy Marie Chronister | Internal Medicine | State of Oklahoma | 2345 Southwest Blvd, Tulsa, OK 74107-2705 |
| Miriam V Mills | Pediatric Medicine | State of Oklahoma | 2345 Southwest Blvd, Tulsa, OK 74107-2705 |
| Sara E Rich | Psychologist, Clinical | State of Oklahoma | 2345 Southwest Blvd, Tulsa, OK 74107-2705 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark H Thai | Osteopathic Manipulative Medicine | State of Oklahoma | 2345 Southwest Blvd, Tulsa, OK 74107-2705 |
| John Franco A Carabello | Cardiac Surgery | State of Oklahoma | 2345 Southwest Blvd, Tulsa, OK 74107-2705 |
| Christopher C Thurman | Family Medicine | State of Oklahoma | 2345 Southwest Blvd, Tulsa, OK 74107-2705 |
| Erin R Kratz | Family Medicine | State of Oklahoma | 2345 Southwest Blvd, Tulsa, OK 74107-2705 |
| Sara Marie Coffey | Psychiatry | State of Oklahoma | 2345 Southwest Blvd, Tulsa, OK 74107-2705 |
| Amy Harrison | Physician Assistant | State of Oklahoma | 2345 Southwest Blvd, Tulsa, OK 74107-2705 |
| Anna Mazur Mosiewicz | Psychologist, Clinical | State of Oklahoma | 2345 Southwest Blvd, Tulsa, OK 74107-2705 |
| Kelly Jordan Dunn | Psychiatry | State of Oklahoma | 2345 Southwest Blvd, Tulsa, OK 74107-2705 |
| Micah Derby | Internal Medicine | State of Oklahoma | 2345 Southwest Blvd, Tulsa, OK 74107-2705 |
| William David Po | Obstetrics/gynecology | State of Oklahoma | 2345 Southwest Blvd, Tulsa, OK 74107-2705 |
| Find all physicians in zip 74107 | |||
| City | TULSA |
| Zip Code | 74107 |
| Specialty | GENERAL SURGERY |
| City + Specialty | TULSA + GENERAL SURGERY |
Please comment or provide details below to improve the information on Brian C Diener.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.