Healthcare Provider Details

I. General information

NPI: 1669765368
Provider Name (Legal Business Name): BRITTANY JO MATHIAS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2011
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401 MCAULEY BLVD STE 2200
OKLAHOMA CITY OK
73120-8561
US

IV. Provider business mailing address

4401 MCAULEY BLVD STE 2200
OKLAHOMA CITY OK
73120-8561
US

V. Phone/Fax

Practice location:
  • Phone: 405-749-7023
  • Fax:
Mailing address:
  • Phone: 405-749-7023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number34611
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number34611
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: