Healthcare Provider Details

I. General information

NPI: 1114159290
Provider Name (Legal Business Name): BAP L.L.P.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2009
Last Update Date: 08/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 E FRANK PHILLIPS BLVD JPMC ANESTHESIA DEPT
BARTLESVILLE OK
74006-2411
US

IV. Provider business mailing address

PO BOX 3456
BARTLESVILLE OK
74006-3456
US

V. Phone/Fax

Practice location:
  • Phone: 918-331-1555
  • Fax: 918-331-1695
Mailing address:
  • Phone: 918-331-1555
  • Fax: 918-331-1695

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BRADFORD D. BARBER
Title or Position: DIRECTOR ANESTHESIA
Credential: M.D.
Phone: 918-331-1555