BLUE BAYOU INC NPI 1043568538

NPI Information

NPI: 1043568538
Provider Name: BLUE BAYOU INC
Classification: Family Medicine - 207QA0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
100 PARK AVE
OKLAHOMA CITY, OK
ZIP 73102
Phone: (405) 229-3410
Get Directions

BLUE BAYOU INC is an adolescent medicine family medicine in Oklahoma City, OK. The provider is a family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. BLUE BAYOU INC NPI is 1043568538. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

100 PARK AVE
OKLAHOMA CITY, OK
ZIP 73102-006
Phone: (405) 229-3410

The provider's authorized official is James Bronson .
The authorized official title is Ceo and has the following contact phone number (405) 229-3410.

The enumeration date for this NPI number is 8/15/2012 and was last updated on 9/18/2012.

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
1	207QA0000X	Family Medicine	Adolescent Medicine	12345	OKLAHOMA	Yes

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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »