MEDICARE: BRYANT ALEXANDER PIERCE MD

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	207Q00000X	Family Medicine Physician	45999	OK

General Provider Information

NPI Number	:	1386386324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRYANT ALEXANDER PIERCE MD

Provider Business Mailing Address
First Line	:	3001 QUAIL SPRINGS PKWY FL 5
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73134-2640
Country	:	US
Telephone Number	:	405-715-5300
Fax Number	:	405-715-5350

Provider Business Practice Location Address
First Line	:	2916 N KELLY AVE
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73003-3233
Country	:	US
Telephone Number	:	405-715-5300
Fax Number	:	405-715-5350

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2022
Last Update Date	:	01/20/2026

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