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SPENCER BRIAN WARREN
NPI 1235972464
Student in an Organized Health Care Education/Training Program in Tulsa, OK

Active since June 15, 2024PECOS Enrolled
1111 W 17TH ST, TULSA, OK 74107(918) 582-1972 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 18, 2025, Jun 15, 2024 (2 updates tracked since 2024).

About Spencer Brian Warren NPPES

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

SPENCER BRIAN WARREN (NPI 1235972464) is an individual student in an organized health care education/training program in Tulsa, Oklahoma and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235972464
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSPENCER BRIAN WARREN
Location Address1111 W 17TH STTulsa, OK 74107-1886
Mailing Address1111 W 17th StTulsa, OK 74107-1886 · (918) 582-1972
Phone(918) 582-1972
Sole ProprietorYes
Enumeration DateJune 15, 2024
Last NPPES UpdateFebruary 18, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2025
✔ NPI 1235972464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1111 W 17TH ST, Tulsa, OK 74107
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spencer Brian Warren is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRAHAM NATHAN JAMEISON MAT, ATC
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 237-2828
MARIYA BOBEN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
KARLYN TANZEY
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
KAYLEY ANTHAMATTEN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
CHASE YAGER
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (405) 613-1540
MACKENZIE LYNN HATTABAUGH
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
ASHLEE EASTMAN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 805-1752
DAVID ROBERT WAXMAN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972

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 Spencer Warren's NPI number?

The NPI number for Spencer Warren is 1235972464. It was assigned to this individual provider in the NPPES registry on June 15, 2024.

Where is Spencer Warren located?

Spencer Warren practices at 1111 W 17th St, Tulsa, OK 74107. The listed phone number is (918) 582-1972.

What is Spencer Warren's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Spencer Warren enrolled in Medicare?

Yes. Spencer Warren is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Spencer Warren was last updated on February 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.