JEFFREY D BIVENS, P.A.-C, Medical OKLAHOMA CITY, OK

Contact Information

JEFFREY D BIVENS, P.A.-C

225 NE 97TH ST
SUITE 600
OKLAHOMA CITY, OK 73114-6302

Phone: 405-841-7875
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Medical	363AM0700X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for JEFFREY D BIVENS · (Male)

NPI Number	`1861565533`
Status	Active
Credentials	P.A.-C
Entity	Individual
Enumeration date	11/17/2006
Last updated	09/26/2017 - About 9 years ago
Sole proprietor ¹	No
Identifiers	OK License # PA807 OK Medicaid 100156320A
Hospital affiliation(s)	INTEGRIS BAPTIST MEDICAL CENTER - (Acute Care) 3300 NORTHWEST EXPRESSWAY OKLAHOMA CITY, OK 73112 INTEGRIS SOUTHWEST MEDICAL CENTER - (Acute Care) 4401 SOUTH WESTERN AVENUE OKLAHOMA CITY, OK 73109 NORMAN REGIONAL HEALTH SYSTEM - (Acute Care) 901 NORTH PORTER NORMAN, OK 73070

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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JEFFREY D BIVENS, P.A.-C – NPI #1861565533Medical

Contact Information

Specialty

Medical

NPI Profile & details for JEFFREY D BIVENS · (Male)

Reviews for JEFFREY D BIVENS

JEFFREY D BIVENS, P.A.-C – NPI #1861565533
Medical