MEDICARE: REGIONAL BRAIN INSTITUTE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician
2	2084N0400X	Neurology Physician

General Provider Information

NPI Number	:	1356811764
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REGIONAL BRAIN INSTITUTE PLLC

Provider Business Mailing Address
First Line	:	6120 S YALE AVE STE 1210
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74136-4234
Country	:	US
Telephone Number	:	918-888-5211
Fax Number	:	918-888-5270

Provider Business Practice Location Address
First Line	:	6120 S YALE AVE STE 1210
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74136-4234
Country	:	US
Telephone Number	:	918-888-5211
Fax Number	:	918-888-5270

Authorized Official
Title or Position	:	ATTORNEY
Name	:	SAMUEL CLANCY
Credential	:
Telephone Number	:	918-595-4800

Provider Enumeration Date	:	11/28/2018
Last Update Date	:	06/22/2023

Similar Medicare Providers

1427807007 — KELSEA RAE SEVERSON
Practice Location Address:

6120 S YALE AVE STE 1210
TULSA, OK
74136-4234

Practice Phone: 918-888-5211
Practice Fax:

1386611473 — SMARANDA A GALIS MD
Practice Location Address:

6120 S YALE AVE STE 1210
TULSA, OK
74136-4234

Practice Phone: 918-888-5211
Practice Fax: 918-888-5270

1265558779 — MARK STEVEN DAWSON MD
Practice Location Address:

6120 S YALE AVE , SUITE 1225
TULSA, OK
74136-4234

Practice Phone: 916-624-4756
Practice Fax:

1245498906 — IMAD UDDIN M.D.
Practice Location Address:

6120 S YALE AVE STE 1210
TULSA, OK
74136-4234

Practice Phone: 918-888-5211
Practice Fax: 918-888-5270

1447748959 — DR. JAMES HUY LE DO
Practice Location Address:

6120 S YALE AVE # 1210
TULSA, OK
74136-4234

Practice Phone: 918-885-2118
Practice Fax:

1154984995 — DR. CYRIECE NICOLE JONES DO
Practice Location Address:

6120 S YALE AVE STE 1210
TULSA, OK
74136-4234

Practice Phone: 918-888-5211
Practice Fax:

Directions to “REGIONAL BRAIN INSTITUTE PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.