BETHANY MEDICAL CLINIC, PLLC
NPI 1255522306
Clinic/Center - Health Service in Bethany, OK

Active since August 05, 2007CLIA 37D0469417 · Waiver
6801 NW 39TH EXPY, BETHANY, OK 73008(405) 789-2441 Get Directions Write a Review

NPPES record last updated: August 31, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bethany Medical Clinic, Pllc NPPES

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

BETHANY MEDICAL CLINIC, PLLC (NPI 1255522306) is a healthcare organization registered as a health service in Bethany, Oklahoma and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through February 25, 2028 and lists Douglas W. Brant, Owner, as its authorized official.

NPPES Registry Identity

NPI1255522306
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameBETHANY MEDICAL CLINIC, PLLC
Location Address6801 NW 39TH EXPYBethany, OK 73008-2501
Mailing Address6801 Nw 39th ExpyBethany, OK 73008-2501 · (405) 789-2441 · Fax (405) 789-7978
Organization SubpartNo
Authorized OfficialDouglas W. BrantOwner · (405) 789-2441
Enumeration DateAugust 5, 2007
Last NPPES UpdateAugust 31, 2020
NPPES CertifiedAugust 31, 2020
NPI 1255522306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License Licensed in OK · 9222
6801 NW 39TH EXPY, Bethany, OK 73008

Other Identifiers 1

OtherCH9820OK · Medicare Rr Group

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D0469417

Bethany Medical Clinic, PLLC · Bethany, OK
Active · expires Feb 25, 2028
CLIA Number37D0469417
Laboratory TypePhysician Office
Certificate Effective DateFebruary 26, 2026
Certificate Expiration DateFebruary 25, 2028
Laboratory DirectorSr. Douglas W. Brant
Laboratory Phone(405) 789-2441
Laboratory LocationBethany Medical Clinic, PLLC6801 NW 39th Expressway, Bethany, OK 73008
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

Pharmacy (Community/Retail Pharmacy)
6801 NW 39TH EXPY
BETHANY, OK 73008
Pharmacist
6801 NW 39TH EXPY
BETHANY, OK 73008
Dentist
6801 NW 39TH EXPY, SUITE A
BETHANY, OK 73008
Registered Nurse
6801 NW 39TH EXPY
BETHANY, OK 73008
Family Medicine
6801 NW 39TH EXPY
BETHANY, OK 73008

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 Bethany Medical Clinic, PLLC's NPI number?

The NPI number for Bethany Medical Clinic, PLLC is 1255522306. It was assigned to this organization in the NPPES registry on August 5, 2007.

Where is Bethany Medical Clinic, PLLC located?

Bethany Medical Clinic, PLLC is located at 6801 NW 39th Expy, Bethany, OK 73008. The listed phone number is (405) 789-2441.

What is Bethany Medical Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does Bethany Medical Clinic, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D0469417) is associated with this NPI, valid through February 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bethany Medical Clinic, PLLC was last updated on August 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.