| Vincent Bryan Do Plc | |
|
7134 S Yale Ave Ste 500 Tulsa OK 74136-6352 | |
| (918) 392-4763 | |
| (918) 392-4897 |
| Full Name | Vincent Bryan Do Plc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7134 S Yale Ave Ste 500, Tulsa, Oklahoma |
| Authorized Official Name and Position | Annette Griffith (CEO) |
| Authorized Official Contact | 9183924763 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vincent Bryan Do Plc 7134 S Yale Ave Ste 500 Tulsa OK 74136-6352 Ph: (918) 392-4763 | Vincent Bryan Do Plc 7134 S Yale Ave Ste 500 Tulsa OK 74136-6352 Ph: (918) 392-4763 |
| NPI Number | 1609510940 |
|---|---|
| Provider Enumeration Date | 04/22/2022 |
| Last Update Date | 04/22/2022 |
| Medicare PECOS PAC ID | 4486031473 |
|---|---|
| Medicare Enrollment ID | O20220512001714 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609510940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Vincent Bryan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134129356 PECOS PAC ID: 7618944182 Enrollment ID: I20040914000639 |
| Provider Name | Kamille R Case |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740721117 PECOS PAC ID: 2961775481 Enrollment ID: I20170906000031 |
| Provider Name | Brenda Kay Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316590714 PECOS PAC ID: 5991162455 Enrollment ID: I20230530000473 |
| Provider Name | Elizabeth J Urrea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033802236 PECOS PAC ID: 7517326994 Enrollment ID: I20230703000846 |
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