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BJT MD PLLC NPI 1992960231


NPI Information

NPI: 1992960231
Provider Name: BJT MD PLLC

Doing Business As: BRYAN J TREACY, MD LLC

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
1035 SW 19TH ST
SUITE B
MOORE, OK
ZIP 73160
Phone: (405) 793-9171
Get Directions

BJT MD PLLC is an obstetrics gynecology in Moore, OK. The provider is 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. BJT MD PLLC NPI is 1992960231. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bryan J Treacy, Md Llc.

The provider's business location address is:

1035 SW 19TH ST
SUITE B
MOORE, OK
ZIP 73160-883
Phone: (405) 793-9171
Fax: (405) 793-0815

The provider's authorized official is Bryan J Treacy .
The authorized official title is Owner/physician and has the following contact phone number (405) 793-9171.

The enumeration date for this NPI number is 7/25/2008 and was last updated on 4/24/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology23781OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200263670AMEDICAIDOKLAHOMA
2OKB5637MEDICARE PINOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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