BRYAN D STRUCK (NPI# 1831167667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831167667 |
| Entity Type | Individual |
| Full Name | BRYAN D STRUCK |
| Credential | MD |
| Practice Address |
1122 Ne 13th St Suite 150 Oklahoma City OK 73117 |
| Mailing Address |
1122 Ne 13th St Ori274 Oklahoma City OK 73117-1039 |
| Practice Telephone | 4052713050 |
| Practice Fax Number | 4052718502 |
| Mailing Telephone | 4052711515 |
| Mailing Fax Number | 4052711001 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2018-05-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 21797 | OK | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
21797 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
1122 NE 13TH ST SUITE 150 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033112347 | Rachel Hand | Physician Assistant | 1122 Ne 13th St, Orb 1200, Oklahoma City, OK 73117-1039 | 2005-05-31 |
| 1093200453 | Thomas Viet Ha | Pharmacist | 1122 Ne 13th St, Oklahoma City, OK 73117-1039 | 2018-06-28 |
| 1730604836 | Lindsey Dena' Pearson | Nurse Practitioner | 1122 Ne 13th St, Ori 150, Oklahoma City, OK 73117-1039 | 2017-08-09 |
| 1487019659 | Leslie Chandler | Nurse Practitioner | 1122 Ne 13th St, Ori236, Oklahoma City, OK 73117-1039 | 2015-12-15 |
| 1205236767 | Rebecca Marie Tripp | Registered Nurse | 1122 Ne 13th St, Suite Ori 236, Oklahoma City, OK 73117-1039 | 2014-09-02 |
| 1235546961 | South Wellness Community Health Clinic | Clinic/Center | 1122 Ne 13th St, Ori 274, Oklahoma City, OK 73117-1039 | 2014-07-15 |
| 1477965408 | Terad Talmesany | Internal Medicine | 1122 Ne 13th St, Oklahoma City, OK 73117-1039 | 2014-05-26 |
| 1801218128 | Julie Nelson | Psychologist | 1122 Ne 13th St, Orb 1200, Oklahoma City, OK 73117-1039 | 2014-01-07 |
| 1881948131 | Rhonda Jean Coleman-jackson | Clinical Nurse Specialist | 1122 Ne 13th St, Ori 236, Oklahoma City, OK 73117-1039 | 2012-11-07 |
| 1235405028 | Ou Physicians | General Acute Care Hospital | 1122 Ne 13th St, Ori-236, Oklahoma City, OK 73117-1039 | 2012-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623271 | Katelyn Gerth | Student in an Organized Health Care Education/Training Program | University of Oklahoma College of Medicine, 800 Stanton L. Young Blvd, Oklahoma City, OK 73117 | 2020-06-12 |
| 1114401387 | Northstar Counseling Associates, LLC | Counselor | 4540 E Reno Ave, Del City, OK 73117 | 2018-09-24 |
| 1801300710 | Kenneth Belyeu | Peer Specialist | 625 N Nebraska, Okc, OK 73117 | 2017-11-30 |
| 1215483029 | Brian Behnum Minavi | Dentist | 1201 N. Stonewall Ave., Oklahoma City, OK 73117 | 2016-08-31 |
| 1649631409 | April Ajanwachukwu | Social Worker | 1309 N Nebraska Ave, Oklahoma City, OK 73117 | 2016-03-08 |
| 1518340405 | Shachi Shah | Dentist | 1201 N Stonewall Ave # 544n, Oklahoma City, OK 73117 | 2015-07-09 |
| 1063829067 | Lauren Marie Pierce | Speech-Language Pathologist | 1200 N. Stonewall Ave, Ahb 1058, Oklahoma City, OK 73117 | 2014-07-22 |
| 1306195235 | Rachel Devecchio | Case Manager/Care Coordinator | 1300 Ne 13th St, Oklahoma City, OK 73117 | 2012-09-06 |
| 1265780837 | Tiffany Dawn Stokely | Counselor | 1701 E Park Pl, Oklahoma, OK 73117 | 2012-08-29 |
| 1689935645 | Everett House | Behavioral Analyst | 1100 Ne 15th St, Oklahoma Cituy, OK 73117 | 2012-06-06 |
| Find all providers in zip 73117 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856230 | Lori K Scott, Aprn-cnp, LLC | Internal Medicine | 12101 N Macarthur Blvd # 280, Oklahoma City, OK 73162-1800 | 2019-11-22 |
| 1336245679 | Christos Dimas | Internal Medicine | 2716 Sw 44th, Oklahoma City, OK 73119 | 2006-09-15 |
| 1447360698 | Laurence Z. Rubenstein | Internal Medicine | 1122 Ne 13th St Ste 150, Ou Senior Health Center, Oklahoma City, OK 73117-1039 | 2006-08-30 |
| 1477965408 | Terad Talmesany | Internal Medicine | 1122 Ne 13th St, Oklahoma City, OK 73117-1039 | 2014-05-26 |
| 1174715932 | Bich-thy Nguyen Ngo | Internal Medicine | 1122 Ne 13th St, Orb 1200, Oklahoma City, OK 73117-1039 | 2007-08-15 |
| 1083766703 | Dearborn Edwards | Internal Medicine | 921 Ne 13th St, Donald W Reynolds Dept. Geriatric Medicine (vamc 11g), Oklahoma City, OK 73104 | 2007-01-16 |
| 1508962358 | Kimberly Kay Porter | Internal Medicine | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2006-09-16 |
| 1508833732 | Germaine L Odenheimer | Internal Medicine | 825 Ne 10th St, Oupb4300, Oklahoma City, OK 73104-5417 | 2006-03-07 |
| 1295739126 | Andrew N Dentino | Internal Medicine | 1122 Ne 13th St, Orb 1200, Oklahoma City, OK 73117-1039 | 2005-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730214362 | Empyreal Healthcare, LLC | Internal Medicine | 8826 S Hudson Ave, Tulsa, OK 74137-2943 | 2007-02-23 |
| 1568550051 | Chandini Sharma | Internal Medicine | 2025 E 71st St, Tulsa, OK 74136-5407 | 2006-10-10 |
| 1073521332 | Kenneth John Kirk | Internal Medicine | 6506 E 89th Pl, Tulsa, OK 74133-5009 | 2006-08-03 |
| 1417983701 | Muhammad Firdaus | Internal Medicine | 14916 Salem Creek Rd, Edmond, OK 73013-2452 | 2006-06-25 |
| 1518900505 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Internal Medicine | 4444 E 41st Street 3rd Floor Ste B, Schusterman Center Clinic, Tulsa, OK 74135-2527 | 2006-06-14 |
| 1841286010 | Gerimed Inc | Internal Medicine | 518 Chautauqua Ave, Norman, OK 73069-5508 | 2005-09-23 |
| 1811391386 | Jm Medical, LLC | Internal Medicine | 4181 Oak Rd, Tulsa, OK 74105-4219 | 2014-10-13 |
| 1609929660 | Internal Medicine & Geriatric Practice, PC | Internal Medicine | 1125 N Porter Ave, 200, Norman, OK 73071-6443 | 2007-01-20 |
| 1811073158 | Internal Medicine Associates of Ponca City Pllc | Internal Medicine | 100 Elmwood Ave, Ponca City, OK 74601-3406 | 2006-10-30 |
| 1205921475 | Victoria Gayle Harris | Internal Medicine | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2006-10-04 |
| Find all providers with the same taxonomy | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73117 |
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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.