Individual
DR. BRYAN TREACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1035 SW 19TH ST, SUITE B, MOORE, OK 73160-2883
(405) 793-9171
(405) 793-0815
Mailing address
PO BOX 6847, MOORE, OK 73153-0847
(405) 793-9171
(405) 793-0815
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
23781
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200036180A
—
OK
Enumeration date
10/12/2005
Last updated
03/30/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us