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BLUE BAYOU INC
NPI 1043568538
Family Medicine - Adolescent Medicine in Oklahoma City, OK

Active since August 15, 2012
100 PARK AVE, OKLAHOMA CITY, OK 73102(405) 229-3410 Get Directions Write a Review

NPPES record last updated: September 18, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blue Bayou Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUE BAYOU INC (NPI 1043568538) is a healthcare organization registered as an adolescent medicine in Oklahoma City, Oklahoma and active in the NPI registry since August 2012. The organization lists James Bronson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1043568538
Entity TypeOrganization
Primary Taxonomy207QA0000X
Legal Business NameBLUE BAYOU INC
Location Address100 PARK AVEOklahoma City, OK 73102-8006
Mailing Address100 Park AveOklahoma City, OK 73102-8006 · (405) 229-3410
Phone(405) 229-3410
Organization SubpartNo
Authorized OfficialJames BronsonCeo · (405) 229-3410
Enumeration DateAugust 15, 2012
Last NPPES UpdateSeptember 18, 2012
✔ NPI 1043568538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0000X
License✔ Licensed in OK · 12345
Definition
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
100 PARK AVE, Oklahoma City, OK 73102
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue Bayou Inc's NPI number?

The NPI number for Blue Bayou Inc is 1043568538. It was assigned to this organization in the NPPES registry on August 15, 2012.

Where is Blue Bayou Inc located?

Blue Bayou Inc is located at 100 Park Ave, Oklahoma City, OK 73102. The listed phone number is (405) 229-3410.

What is Blue Bayou Inc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adolescent Medicine, with taxonomy code 207QA0000X.

When was this NPI record last updated?

The NPPES record for Blue Bayou Inc was last updated on September 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.